Individual
DR. HENRY E PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8595 BUSTLETON AVE, PHILADELPHIA, PA 19152
(215) 722-1133
(215) 722-4394
Mailing address
8595 BUSTLETON AVE, PHILADELPHIA, PA 19152
(215) 722-1133
(215) 722-4394
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001075
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1501451679
—
PA
Enumeration date
09/20/2006
Last updated
07/08/2007
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