Individual
CHRIS C PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
655 WATKINS MILL RD, GAITHERSBURG, MD 20879-3301
(240) 632-4000
Mailing address
655 WATKINS MILL RD, GAITHERSBURG, MD 20879-3301
(240) 632-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.094595
OH
207R00000X
Internal Medicine Physician
Primary
D56316
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3004528
—
OH
Enumeration date
12/02/2006
Last updated
06/30/2021
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