Individual
DR. ANTHONY SUNGWOOK PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
300 1ST AVE, CHARLESTOWN, MA 02129
(617) 952-5268
Mailing address
300 1ST AVE, CHARLESTOWN, MA 02129-3109
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
279370
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2018
Last updated
10/13/2022
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