Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 82198 | MA |
N | 2084N0400X | Neurologist | 82198 | MA |
Y | 2084N0402X | Child Neurologist | 82198 | MA |
NPI | 1023037454 |
---|---|
Provider Name | Dr. Sharon M Parnes |
First Address | Brockton, MA 02301-1191 |
Second Address | Brockton, MA 02301-1191 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 14/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3166554 | (05) | MA |
G44648 | (02) | MA |