# I. JAMES PARK, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669701868
- **Authorized official:** DR. IN JOO JAMES PARK M.D. (PRESIDENT)
- **Authorized official phone:** (410) 583-7670

## Contact information

- **Practice address:** 5601 LOCH RAVEN BLVD, SUITE 400, BALTIMORE, MD 21239-2905
- **Practice address phone:** (410) 583-7670
- **Practice address fax:** (410) 583-7671
- **Mailing address:** PO BOX 9819, BALTIMORE, MD 21284-9819
- **Mailing address phone:** (410) 583-7670
- **Mailing address fax:** (410) 583-7671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | D0004802 | MD | Yes |

## Other

- **Enumeration date:** 12/17/2009
- **Last updated:** 12/17/2009