Individual
IN SOOK PARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 MONTEVUE LN, FREDERICK, MD 21702-8214
(301) 694-1029
(301) 631-5111
Mailing address
350 MONTEVUE LN, FREDERICK, MD 21702-8214
(301) 694-1029
(301) 631-5111
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D0042130
MD
Other
Enumeration date
10/17/2005
Last updated
07/08/2007
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