Individual
JI EUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 955-5525
Mailing address
10522 ABINGDON WAY, WOODSTOCK, MD 21163-1379
(213) 301-6507
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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