Individual
DR. DEAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4954 N PALMER RD RM 3656, BETHESDA, MD 20889-3455
(301) 319-2100
(301) 319-2119
Mailing address
4954 N. PALMER ROAD, BUILDING 19, ROOM 3656, BETHESDA, MD 20889
(301) 319-2100
(301) 319-2119
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01063363A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146470D2
MEDICARE PROVIDER NUMBER
IN
05
—
200861710
—
IN
Enumeration date
01/04/2007
Last updated
03/16/2023
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