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Individual

DR. JAMES PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
42 ORIENTAL ST, PROVIDENCE, RI 02908-3238
(401) 632-4464
(401) 632-4485

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1316308224
RI

Other

Enumeration date
03/19/2016
Last updated
11/15/2023
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