Individual
JUN I. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5775
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3016690
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2024
Last updated
04/09/2024
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