Individual
JEAN YOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG., 3RD FLOOR, BALTIMORE, MD 21239-2905
(410) 464-5600
(410) 435-5367
Mailing address
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG., 3RD FLOOR, BALTIMORE, MD 21239-2905
(410) 464-5600
(410) 435-5367
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D0061985
MD
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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