Provider Demographics
NPI:1801813423
Name:PARSONS, GEORGE MYLIN (DO)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:MYLIN
Last Name:PARSONS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:GEORGE
Other - Middle Name:MYLIN
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 13973
Mailing Address - Street 2:HAN EMERGENCY PHYSICIANS
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19101
Mailing Address - Country:US
Mailing Address - Phone:800-666-2455
Mailing Address - Fax:610-617-6280
Practice Address - Street 1:ONE MEDICAL CENTER BOULEVARD
Practice Address - Street 2:CROZER CHESTER MEDICAL CENTER
Practice Address - City:UPLAND
Practice Address - State:PA
Practice Address - Zip Code:19013
Practice Address - Country:US
Practice Address - Phone:215-447-2000
Practice Address - Fax:610-617-6280
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05006697207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01208111Medicaid
F24889Medicare UPIN
PA01208111Medicaid