Michael Timothy Parke D.O.

NPI 1033105382 - Family Medicine - 207Q00000X

NPI Details
NPI 1033105382
Gender Male
Enumeration Date 09/22/2005
Last Updated 10/11/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1970 NORTH BROAD STREET
LANSDALE PA, 19446-1002, US
Phone (215) 368-1900
Fax (215) 368-8772
Business Location
1970 NORTH BROAD STREET
LANSDALE PA, 19446-1002, US
Phone (215) 368-1900
Fax (215) 368-8772
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number OS-010809-L
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According to our database, Dr. Michael Timothy Parke D.O. NPI is 1033105382, taxonomy code is 207Q00000X and license number is OS-010809-L, license state is located at Pennsylvania. Michael Timothy Parke D.O. physically located at 1970 North Broad Street, Lansdale PA, 19446-1002. NPI Number Michael Timothy Parke D.O. has the Individual type.

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1033105382 NPI number is provided on an as is basis without warranty of any kind. 1033105382 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Timothy Parke D.O. are for informational purposes only.