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Individual

DR. CHAN-SHIK PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
75 FRANCIS ST, BWH, DEPARTMENT OF PATHOLOGY, BOSTON, MA 02115-6110
(617) 732-7510
Mailing address
75 FRANCIS ST, BWH, DEPARTMENT OF PATHOLOGY, BOSTON, MA 02115-6110
(617) 732-7510

Taxonomy

Speciality
Code
Description
License number
State
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
Primary
233065
MA

Other

Enumeration date
08/07/2007
Last updated
08/07/2007
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