Individual
JUNG EUN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6345 CENTER DR BLDG 14, NORFOLK, VA 23502-4105
(757) 461-4027
Mailing address
601 CHILDRENS LN, EVMS PEDIATRICS, NORFOLK, VA 23507-1910
(757) 668-7272
(757) 668-9766
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101256067
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2011
Last updated
03/07/2023
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