Individual
JAY HONG-GEUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 IRVING ST NW STE 2A38M, WASHINGTON, DC 20010-3017
(202) 877-4677
Mailing address
110 IRVING ST NW STE 2A38M, WASHINGTON, DC 20010-3017
(202) 877-4677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD049234
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2018
Last updated
07/29/2021
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