Individual
MR. TED S PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
2141 K ST NW STE 2, WASHINGTON, DC 20037-1810
(202) 785-8704
(202) 464-0039
Mailing address
2141 K ST NW STE 2, WASHINGTON, DC 20037-1810
(202) 785-8704
(202) 464-0039
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
02077
MD
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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