Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 0101021976 | VA |
N | 207ND0900X | Dermatopathologist | 0101021976 | VA |
NPI | 1417050717 |
---|---|
Provider Name | David Pariser |
First Address | Norfolk, VA 23502-3933 |
Second Address | Norfolk, VA 23502-3933 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5968666 | (05) | VA |
B06500 | (02) | VA |