Individual
DR. MATTHEW PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6900 GEORGIA AVE NW, WASHINGTON, DC 20307-5001
(202) 782-1774
Mailing address
3908 FERRARA DR, SILVER SPRING, MD 20906-4708
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101249262
VA
Other
Enumeration date
09/07/2009
Last updated
03/26/2011
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