Individual
JONG YOUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
163 GORE ST, CAMBRIDGE, MA 02141-1119
(617) 499-6690
Mailing address
163 GORE ST, CAMBRIDGE, MA 02141-1119
(617) 499-6690
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH237724
MA
Other
Enumeration date
02/05/2019
Last updated
10/20/2025
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