Individual
DR. DON J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 S CEDAR CREST BLVD STE 401, ALLENTOWN, PA 18103-6218
(610) 402-7880
(610) 402-7881
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14552
NV
207R00000X
Internal Medicine Physician
MD30481
TN
207RH0000X
Hematology (Internal Medicine) Physician
14552
NV
207RH0003X
Hematology & Oncology Physician
14552
NV
207RH0003X
Hematology & Oncology Physician
MD30481
TN
207RH0003X
Hematology & Oncology Physician
Primary
MD462646
PA
207RX0202X
Medical Oncology Physician
14552
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10838324
CAQH
—
05
—
1285714352
—
NV
Enumeration date
10/16/2006
Last updated
03/29/2018
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