Individual
HYON JU PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
137 LANKENAU MEDICAL BUILDING W, WYNNEWOOD, PA 19096-3453
(610) 896-8400
(610) 896-9652
Mailing address
200 HYGEIA DR, CCHS PHYSICIAN CONTRACTING, SUITE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007017292
MO
207RR0500X
Rheumatology Physician
C1-0011316
DE
207RR0500X
Rheumatology Physician
Primary
MD448227
PA
Other
Enumeration date
06/26/2007
Last updated
06/26/2020
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