# PARK MEDICAL ASSOCIATES PAR LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PARK MEDICAL ASSOCIATES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700103017
- **Legal business name:** PARK MEDICAL ASSOCIATES LLC
- **Authorized official:** MARY NEWMAN (PRESIDENT)
- **Authorized official phone:** (410) 583-7120

## Contact information

- **Practice address:** 10755 FALLS RD, SUITE 200, LUTHERVILLE, MD 21093-4515
- **Practice address phone:** (410) 583-7101
- **Mailing address:** 10755 FALLS RD, SUITE 200, LUTHERVILLE, MD 21093-4515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2010
- **Last updated:** 06/16/2010