Individual
MS. JUNG E PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 WALNUT ST, SUITE 200, PHILADELPHIA, PA 19107-5509
(215) 955-1234
Mailing address
121-703 HYUNDAI APT, APGUJUNGDONG, KANGNAMGU, SEOUL, SEOUL 13511-0
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TO BE DETERMINED
PA
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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