Parks, Susan M.

Parks, Susan M. is an individual health care provider with primary practice located at 833 Chestnut St Suite 301, Philadelphia PA 19107-4414. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Parks, Susan M. can be contacted via phone (215) 955-7190.

Contact Information

Primary practice address
833 Chestnut St Suite 301 Philadelphia PA 19107-4414
Phone: (215) 955-7190
Fax: (215) 955-9186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-060603-L Pennsylvania
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD-060603-L Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD060603L Pennsylvania
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X MD060603L Pennsylvania

Profile Details

NPI number 1457378028
LBN Legal business name Parks, Susan M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jun 10th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457378028 NPPES
New Jersey MEDICAID 0052949
New Jersey MEDICAID 001719355

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