Provider Demographics
NPI:1023436185
Name:PARSON, SUSAN JULIA (MD, MS)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:JULIA
Last Name:PARSON
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:850 THORNTON WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4702
Mailing Address - Country:US
Mailing Address - Phone:408-793-1906
Mailing Address - Fax:408-793-1934
Practice Address - Street 1:850 THORNTON WAY
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4702
Practice Address - Country:US
Practice Address - Phone:408-793-1906
Practice Address - Fax:408-793-1934
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA127545207ZP0101X, 207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology