Individual
JU AE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
201 LYONS AVE # 3, NEWARK, NJ 07112-2027
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
25MA12622200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/11/2019
Last updated
04/08/2025
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