Provider Demographics
NPI:1598733511
Name:PARKER, WILLIAM J (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:PARKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:978-466-3208
Mailing Address - Fax:978-840-1680
Practice Address - Street 1:165 MILL ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453
Practice Address - Country:US
Practice Address - Phone:978-466-3208
Practice Address - Fax:978-840-1680
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA51115207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherONE HEALTH PLAN
784171OtherMVP HEALTH CARE
9900069OtherFALLON COMMUNITY HEALTH P
AA1222OtherHARVARD PILGRIM HEALTH CA
080129481OtherRAILROAD MEDICARE
1150243OtherFRIST HEALTH
7797329OtherAETNA US HEALTHCARE
J02366OtherBLUE CARE ELECT
J02366OtherBLUE SHIELD INDEMNITY
26923OtherHEALTHY START
0100290OtherEVERCARE
042472266OtherPRIVATE HEALTHCARE SYSTEM
042472266OtherTHREE RIVERS
MA6175538Medicaid
0303018OtherCIGNA HEALTH PLAN
042472266OtherHEALTHCARE VALUE MANAGEME
26923OtherCHILDRENS MEDICAL SECURIT
J02366OtherBLUE SHIELD HMO BLUE
J02366OtherBLUE SHIELD HMO BLUE
042472266OtherONE HEALTH PLAN