Individual
KITAE ERIC PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 N CAROLINE ST # 8152C, BALTIMORE, MD 21287-0006
(410) 502-7381
Mailing address
40 SUNSHINE COTTAGE RD, VALHALLA, NY 10595-1524
(914) 594-4000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
11/20/2025
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