Organization
JP MEDICAL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JU-UN PARK MD (PRESIDENT)
(301) 944-2877
Entity
Organization
Contact information
Practice address
6119 EXECUTIVE BLVD, ROCKVILLE, MD 20852-3901
(301) 944-2877
Mailing address
6119 EXECUTIVE BLVD, ROCKVILLE, MD 20852-3901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2017
Last updated
12/06/2018
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