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Individual

SUN A. PARK

Active
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Individual

SUN A. PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
003652
NY
207R00000X
Internal Medicine Physician
Primary
0101257545
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03264431
NY
Enumeration date
09/09/2008
Last updated
02/16/2015
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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