Individual
DR. CAROLINE PARK
Active
Individual
DR. CAROLINE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A170021
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
MOUNT SINAI BETH ISRAEL
NY
Enumeration date
04/21/2017
Last updated
09/15/2024
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