Individual
ANGELA M PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 NEWMAN RD, NEW BERN, NC 28562-5253
(252) 635-6777
(252) 634-3183
Mailing address
PO BOX 896206, CHARLOTTE, NC 28289-6206
(252) 635-6777
(252) 634-3183
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
200600085
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142C6
BCBS
NC
05
—
5903061
—
NC
Enumeration date
04/13/2006
Last updated
03/17/2017
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