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Individual

YOUNG S PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5 ALUMNI DRIVE, ANESTHESIA DEPARTMENT, EXETER, NH 03833-2128
(603) 580-6624
(603) 580-6620
Mailing address
PO BOX 655, EXETER, NH 03833-0655
(603) 580-6624
(603) 580-6620

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6761
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050043447
RAILROAD MEDICARE
05
82053637
NH
Enumeration date
06/08/2006
Last updated
01/18/2011
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