Individual
DR. ADRIAN E. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 143, HAGERSTOWN, MD 21742-6755
(301) 714-4350
Mailing address
11110 MEDICAL CAMPUS RD STE 143, HAGERSTOWN, MD 21742-6755
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D60890
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088
CAREFIRST REGIONAL
MD
01
—
2114812
MDIPA
MD
01
—
240838
KAISER
MD
05
—
403374400
—
MD
01
—
82499
GEISINGER
MD
01
—
P01240294
RAILROAD MEDICARE
—
01
—
Y7920001
BCBS MD
—
Enumeration date
07/26/2006
Last updated
12/05/2023
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