Individual
DR. JAE MU PARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6655 SYKESVILLE RD, SYKESVILLE, MD 21784-7966
(410) 970-7000
(410) 970-7024
Mailing address
2206 MOUNT HEBRON CT, ELLICOTT CITY, MD 21042-1809
(410) 465-0409
(410) 465-6154
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0020755
MD
Other
Enumeration date
01/20/2006
Last updated
07/08/2007
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