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Individual

CHONG S PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
575 COAL VALLEY RD, STE 504, CLAIRTON, PA 15025-3730
(412) 469-7900
(412) 469-7919
Mailing address
575 COAL VALLEY RD, STE 504, CLAIRTON, PA 15025-3730
(412) 469-7900
(412) 469-7919

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD-053162-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016361900003
PA
Enumeration date
08/24/2005
Last updated
10/08/2020
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