Provider Demographics
NPI:1871689968
Name:PARRA, RAUL O (MD)
Entity Type:Individual
Prefix:
First Name:RAUL
Middle Name:O
Last Name:PARRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:718 TEANECK RD
Mailing Address - Street 2:HEALTH PARTNER SERVICES
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4245
Mailing Address - Country:US
Mailing Address - Phone:201-833-3000
Mailing Address - Fax:201-227-6207
Practice Address - Street 1:718 TEANECK RD
Practice Address - Street 2:HEALTH PARTNER SERVICES
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4245
Practice Address - Country:US
Practice Address - Phone:201-833-3000
Practice Address - Fax:201-227-6207
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA076573208600000X
NY163344208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ010006266OtherAMERICHOICE
NJ1652315OtherAMERIHEALTH PPO/PA BS
NJ3K6096OtherHEALTHNET
NJ811894OtherUNITED HEALTHCARE
NJP00126714OtherRR MEDICARE
NJP3329480OtherOXFORD
NJ2328908000OtherAMERIHEALTH/KEYSTONE/IBC
NJ3569732OtherAETNA
NJ42387OtherUNIVERSITY HEALTHCARE
NJ60008821OtherHORIZON NJ HEALTH
NJP3329480OtherOXFORD
NJ42387OtherUNIVERSITY HEALTHCARE