Individual
CHUNGHEON PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5018 DORSEY HALL DR, SUTIE 205, ELLICOTT CITY, MD 21042-7855
(703) 801-2003
Mailing address
129 WILLOW ST, EAST BRUNSWICK, NJ 08816-3135
(703) 801-2003
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02262
MD
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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