Individual
DR. JONG CHUL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(410) 614-3511
Mailing address
1470 BUENA VISTA AVE, MC LEAN, VA 22101-3510
(410) 812-6704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101251246
VA
207R00000X
Internal Medicine Physician
D0076801
MD
207RH0003X
Hematology & Oncology Physician
Primary
D76801
MD
207RX0202X
Medical Oncology Physician
D76801
MD
Other
Enumeration date
05/30/2008
Last updated
02/04/2026
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