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Individual

GREGORY PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
776 SHREWSBURY AVE STE 201, TINTON FALLS, NJ 07724-4507
(732) 530-4949
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA10653000
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
331053
LA

Other

Enumeration date
05/19/2017
Last updated
08/10/2023
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