Individual
DR. HAESEONG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-4500
(617) 632-5370
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-4500
(617) 632-5370
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
292711
MA
207RX0202X
Medical Oncology Physician
2015031847
MO
207RX0202X
Medical Oncology Physician
Primary
292711
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200026611
—
MO
Enumeration date
06/19/2008
Last updated
03/06/2023
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