Provider Demographics
NPI:1124078167
Name:PARKER, HANNAH JACKSON (MD)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:JACKSON
Last Name:PARKER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1 BROOKLINE PL
Mailing Address - Street 2:SUITE 305
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7224
Mailing Address - Country:US
Mailing Address - Phone:617-732-1510
Mailing Address - Fax:617-732-0986
Practice Address - Street 1:1 BROOKLINE PL
Practice Address - Street 2:SUITE 305
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7224
Practice Address - Country:US
Practice Address - Phone:617-732-1510
Practice Address - Fax:617-732-0986
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2011-08-12
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Provider Licenses
StateLicense IDTaxonomies
MA213655207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H74378Medicare UPIN