Provider Demographics
NPI:1720163439
Name:PARSONS, ROBERT L (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:PARSONS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 W LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2547
Mailing Address - Country:US
Mailing Address - Phone:610-269-1372
Mailing Address - Fax:610-269-6951
Practice Address - Street 1:770 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2547
Practice Address - Country:US
Practice Address - Phone:610-269-1372
Practice Address - Fax:610-269-6951
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003587L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006877580002Medicaid
PA00265150000OtherIBC HMO/PPO
PA00687758OtherAMERICHOICE
PA0000007OtherAETNA HMO
PAP029888OtherTRICARE
PA137127OtherBLUE SHIELD
PA269096OtherMAMSI HMO
PA6119779OtherCIGNA HMO
PA56892OtherCOVENTRY
PA6119779OtherCIGNA HMO
PAP029888OtherTRICARE