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Individual

HEE-JUNG PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A104135
CA
207W00000X
Ophthalmology Physician
Primary
D69851
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027297300
MD
05
0A1041350
CA
Enumeration date
10/23/2006
Last updated
02/21/2012
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