Individual
INN JEE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1 HIGHLAND AVE # 3B, MASS OPTOMETRIC ASSOCIATES, P.C., MALDEN, MA 02148-6603
(781) 321-9039
(781) 321-8611
Mailing address
2921 ERIE BLVD E, MASS OPTOMETRIC ASSOCIATES, P.C., SYRACUSE, NY 13224-1430
(315) 446-3145
(315) 445-7675
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0819
NH
152W00000X
Optometrist
18003516A
IN
152W00000X
Optometrist
Primary
4686
MA
Other
Enumeration date
07/10/2008
Last updated
10/10/2008
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