Individual
JOSEPH Y PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218-2829
(410) 554-2280
Mailing address
3538 GREENMOUNT AVE APT 1, BALTIMORE, MD 21218-2537
(504) 908-9954
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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