Individual
SANGIL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 EXECUTIVE CENTER PKWY, FREDERICKSBURG, VA 22401-3100
(540) 370-4468
Mailing address
130 EXECUTIVE CENTER PKWY, FREDERICKSBURG, VA 22401-3100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101258131
VA
Other
Enumeration date
06/16/2011
Last updated
12/28/2015
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