Individual
DR. KYONG BIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 W CHESTER PIKE, SUITE 102-B, HAVERTOWN, PA 19083-4539
(610) 853-9328
(610) 853-9336
Mailing address
525 W CHESTER PIKE, SUITE 102-B, HAVERTOWN, PA 19083-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD056941L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001597486
—
PA
Enumeration date
07/17/2006
Last updated
07/08/2014
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