Dr. Jennifer M Park, MD
Psychiatry & Neurology, Psychiatry in Concord, Massachusetts
1063402147- Practice location
- 131 Old Road To 9 Acre Cor Ste 620, Concord, MA 01742-4191
- Phone
- 703-403-4204
- Fax
- 571-446-4015
- Last updated
- September 26, 2023
Jennifer M Park is a Psychiatry & Neurology, Psychiatry based in Concord, MA. Jennifer M Park practices in Concord, MA and has the professional credentials of MD. The NPI Number for Jennifer M Park is 1063402147 and holds a License No. 210049 (MA). The current practice location address for Jennifer M Park is 131 Old Road To 9 Acre Cor Ste 620, Concord, MA 01742-4191 and can be reached out via phone at 703-403-4204 and via fax at 571-446-4015.
Provider Profile Details
- NPI Number
- 1063402147
- Provider Name
- Jennifer M Park
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 131 Old Road To 9 Acre Cor Ste 620, Concord, MA 01742-4191
- Phone Number
- 703-403-4204
- Fax Number
- 571-446-4015
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 28, 2005
- Last Update Date
- September 26, 2023
- Certification Date
- September 26, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 131 Old Road To 9 Acre Cor Ste 620
Concord, MA 01742-4191 - City
- Concord
- State
- Massachusetts
- Zip
- 01742-4191
- Phone Number
- 703-403-4204
- Fax Number
- 571-446-4015
Provider Business Mailing Address Details
- Address
- 80 Rollingwood Ln
Concord, MA 01742-4302 - City
- Concord
- State
- MA
- Zip
- 01742-4302
- Phone Number
- 703-403-4204
- Fax Number
- 571-446-4015
License Information
- License Number (1)
- 210049
- License State (1)
- MA
- Taxonomy (1)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (2)
- 0101248210
- License State (2)
- VA
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jennifer M Park, MD?
The NPI number of Dr. Jennifer M Park, MD is 1063402147. It was assigned on October 28, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Jennifer M Park, MD?
Dr. Jennifer M Park, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 210049.
Where does Dr. Jennifer M Park, MD practice?
The practice location is 131 Old Road To 9 Acre Cor Ste 620, Concord, MA 01742-4191. The office can be reached at 703-403-4204 (phone) or 571-446-4015 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063402147 directly on the NPPES registry website.