Individual
SUJI PARK-IDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8470 FALLS OF NEUSE RD, SUITE 204, RALEIGH, NC 27615
(919) 322-5555
(984) 255-0908
Mailing address
8470 FALLS OF NEUSE RD, RALEIGH, NC 27615-3500
(919) 322-5555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008-01919
NC
207R00000X
Internal Medicine Physician
A89376
CA
208M00000X
Hospitalist Physician
2008-01919
NC
Other
Enumeration date
07/26/2006
Last updated
07/30/2024
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