Individual
JAE YOON PARK
Active
Individual
JAE YOON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55416
MN
207RC0000X
Cardiovascular Disease Physician
55416
MN
207RC0000X
Cardiovascular Disease Physician
T292227
MA
207RI0011X
Interventional Cardiology Physician
69610
AZ
207RI0011X
Interventional Cardiology Physician
Primary
MD487523C
PA
207RI0011X
Interventional Cardiology Physician
T292227
MA
Other
Enumeration date
06/23/2011
Last updated
08/07/2026
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