Individual
DR. JANG B. PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1575 S BERETANIA ST, HONOLULU, HI 96826-1149
(808) 946-1712
Mailing address
1216 LAKE SHORE DR, BEAVER DAM, WI 53916-1242
(920) 887-1922
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12897
HI
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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