Individual
DR. YOUNG WON PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 EAST WATER STREET, MUNCY, PA 17756-1966
(570) 546-4192
(570) 546-4138
Mailing address
220 CLIFFSIDE DRIVE, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AK000555L
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD027494E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008729990003
—
PA
01
—
072549
FIRST PRIORITY HEALTH
PA
01
—
1554158
UNITEDHEALTHCARE
PA
01
—
183700
HIGHMARK BLUE SHIELD
PA
01
—
50054361
CAPITAL BLUE CROSS
PA
01
—
547104
AETNA
PA
01
—
C33002
HEALTHAMERICA
PA
Enumeration date
03/09/2006
Last updated
06/02/2011
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