Individual
ROY J PARK
Active
Individual
ROY J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA07382200
NJ
207W00000X
Ophthalmology Physician
Primary
MD00048909
WA
Other
Enumeration date
08/03/2005
Last updated
07/21/2017
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