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Individual
DERIC MINWOO PARK
Active
Individual
DERIC MINWOO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
25MA11934400
NJ
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
MD431575
PA
2084N0400X
Neurology Physician
0101247111
VA
2084N0400X
Neurology Physician
036147170
IL
Other
Enumeration date
05/04/2007
Last updated
09/17/2024
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