Individual
DR. JULIA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 PARKMAN STREET MASSACHUSETTS GENERAL HOSPITAL, WANG 460 SURGERY DEPARTMENT, BOSTON, MA 02114-3117
(617) 724-8655
Mailing address
15 PARKMAN STREET MASSACHUSETTS GENERAL HOSPITAL, WANG 460 SURGERY DEPARTMENT, BOSTON, MA 02114-3117
(617) 724-8655
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1730405788
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2010
Last updated
12/31/2015
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