Individual
DARYL RICHARD PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 YORK RD, MANSFIELD, MA 02048-1764
(508) 954-3072
(508) 261-0306
Mailing address
132 YORK RD, MANSFIELD, MA 02048-1764
(508) 954-3072
(508) 261-0306
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
78178
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007058151
RI MEDICARE
RI
01
—
3129373
MASSHEALTH
MA
01
—
DP29107
RI MEDICAID
RI
Enumeration date
08/31/2005
Last updated
11/23/2010
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