Provider Demographics
NPI:1639227077
Name:PARR, MONIQUE SYLVIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:SYLVIA
Last Name:PARR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14924 JOSHUA TREE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2564
Mailing Address - Country:US
Mailing Address - Phone:301-340-7763
Mailing Address - Fax:301-340-7763
Practice Address - Street 1:14924 JOSHUA TREE RD
Practice Address - Street 2:
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-2564
Practice Address - Country:US
Practice Address - Phone:301-340-7763
Practice Address - Fax:301-340-7763
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0042438208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics