# CECIL COUNTY PEDIATRICS

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

## Provider details

- **NPI number:** 1780639096
- **Authorized official:** DR. DDONG HEE PARK M.D. (PRESIDENT)
- **Authorized official phone:** (410) 398-2700

## Contact information

- **Practice address:** 719 N BRIDGE ST, ELKTON, MD 21921-5309
- **Practice address phone:** (410) 398-2700
- **Practice address fax:** (410) 620-1249
- **Mailing address:** 719 N BRIDGE ST, ELKTON, MD 21921-5309
- **Mailing address phone:** (410) 398-2700
- **Mailing address fax:** (410) 620-1249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 05/17/2023