Individual
DR. SUNG JIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, MC A410, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD074218L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018584840007
—
PA
Enumeration date
05/01/2006
Last updated
09/12/2024
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