person
Jemin Park, MD
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1013583228

Jemin Park is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Jemin Park practices in Boston, MA and has the professional credentials of MD. The NPI Number for Jemin Park is 1013583228 and holds a License No. 288245 (Massachusetts).

The current practice location address for Jemin Park is 330 Brookline Ave, Boston, MA and can be reached out via phone at 617-632-9236.

Location: 330 Brookline Ave, Boston, MA, 02215-5400
person
Provider Profile Details
NPI Number
1013583228
Provider Name
Jemin Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
330 Brookline Ave, Boston, MA, 02215-5400
Phone Number
617-632-9236
Fax Number
Provider Enumeration Date
05/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
330 Brookline Ave
City
State
Zip
02215-5491
Phone Number
617-632-9236
Fax Number
person
Provider Business Mailing Address Details
Address
330 Brookline Ave
City
State
Zip
02215-5491
Phone Number
617-632-9236
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
288245 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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