Individual
JOHN SUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-3370
(845) 333-3372
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-3370
(845) 333-3372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
272236
NY
207R00000X
Internal Medicine Physician
MT197957
PA
208M00000X
Hospitalist Physician
Primary
272236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03734301
—
NY
Enumeration date
07/16/2010
Last updated
11/27/2023
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