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LEROY MONROE PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
450 BROOKLINE AVE, DANA-FARBER CANCER INSTITUTE, BOSTON, MA 02215-5418
(617) 632-3427
(617) 632-1930
Mailing address
20 LINCOLN ROAD, WAYLAND, MA 01778
(508) 358-2096

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
37499
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
037499
TUFTS
01
110128571
RR MEDICARE DFCI
05
2040808
MA
01
2066693
AETNA US HEALTHCARE
01
3004556
UNITED HEALTH CARE
01
38108
FALLON COMMUNITY HEALTH
01
8350324
CIGNA
01
B75955DF
HPHC DFCI ONLY
01
M09083
BCBS INDEMNITY ELECT HMO
MA
Enumeration date
03/14/2006
Last updated
11/21/2011
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