Individual
BRIAN J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 WASHINGTON ST, GREEN BUILDING -- SUITE 668, NEWTON, MA 02462-1650
(617) 630-1699
Mailing address
2000 WASHINGTON ST, GREEN BUILDING -- SUITE 668, NEWTON, MA 02462-1650
(617) 630-1699
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
239954
MA
Other
Enumeration date
04/12/2007
Last updated
09/03/2010
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