Individual
DR. STEPHEN JOSEPH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9711 MEDICAL CENTER DR STE 308, ROCKVILLE, MD 20850-3388
(301) 251-1244
Mailing address
9711 MEDICAL CENTER DR STE 308, ROCKVILLE, MD 20850-3388
(301) 251-1244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101248589
VA
207RG0100X
Gastroenterology Physician
0101248589
VA
207RG0100X
Gastroenterology Physician
Primary
D0082067
MD
208D00000X
General Practice Physician
0101248589
VA
Other
Enumeration date
06/22/2009
Last updated
07/13/2020
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