Individual
DR. BRIAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CAMC - PULMONARY AND CRITICAL CARE MEDICINE, 3200 MACCORKLE AVE SE, CHARLESTON, WV 25304
(201) 978-9388
Mailing address
COOPER HEALTH GRADUATE MEDICAL EDUCATION, ONE COOPER PLZ, CAMDEN, NJ 08103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD468574
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA1085990
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
33603
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2017
Last updated
04/26/2024
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