Individual
DR. RAYMOND S PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BADER 3, BOSTON, MA 02115-5724
(617) 355-7235
Mailing address
75 PETERBOROUGH ST, #608, BOSTON, MA 02215-4311
(720) 839-8078
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
250579
MA
Other
Enumeration date
06/30/2008
Last updated
11/08/2012
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