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Individual

DR. HANCHONG J PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
311 N 4TH ST, OAKLAND, MD 21550-1371
(301) 334-1034
(301) 334-3350
Mailing address
311 N 4TH ST, OAKLAND, MD 21550-1371
(301) 334-1034
(301) 334-3350

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34436
KY
207X00000X
Orthopaedic Surgery Physician
D0088549
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A96221
MEDICARE UPIN
KY
01
K215740
MEDICARE
KY
01
P01819398
RAILROAD MEDICARE
KY
Enumeration date
08/19/2005
Last updated
10/27/2020
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