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Organization
I. JAMES PARK, M.D., P.A.
Active
Organization
I. JAMES PARK, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IN JOO JAMES PARK M.D. (PRESIDENT)
(410) 583-7670
Entity
Organization
Contact information
Practice address
5601 LOCH RAVEN BLVD, SUITE 400, BALTIMORE, MD 21239-2905
(410) 583-7670
(410) 583-7671
Mailing address
PO BOX 9819, BALTIMORE, MD 21284-9819
(410) 583-7670
(410) 583-7671
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0004802
MD
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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