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Justin Park, MD
Orthopedic Surgery of the Spine Physician in Glen Burnie, Maryland
NPI 1265625941

Justin Park is a Orthopedic Surgery of the Spine Physician based in Glen Burnie, MD and is specialized in Orthopedic Surgery of the Spine. Justin Park practices in Glen Burnie, MD and has the professional credentials of MD. The NPI Number for Justin Park is 1265625941 and holds a License No. 43955 (Maryland).

The current practice location address for Justin Park is 1600 Crain Hwy S, Glen Burnie, MD and can be reached out via phone at 410-768-5050 and via fax at 410-768-7830.

Location: 1600 Crain Hwy S, Glen Burnie, MD, 21061-5577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265625941
Provider Name
Justin Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1600 Crain Hwy S, Glen Burnie, MD, 21061-5577
Phone Number
410-768-5050
Fax Number
410-768-7830
Provider Enumeration Date
08/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
253616 01 MD JHHC
6831-0019 01 MD CAREFIRST
K007170 01 KY MEDICARE PTAN-- NORTON LEATHERMAN SPINE
231508400 05 MD
6029607 01 MD CIGNA
9804676 01 MD AETNA PPO
8543972 01 MD AETNA HMO
institution
Provider Business Practice Location Address Details
Address
1600 Crain Hwy S
City
Glen Burnie
State
Maryland
Zip
21061-5577
Phone Number
410-768-5050
Fax Number
410-768-7830
person
Provider Business Mailing Address Details
Address
1600 Crain Hwy S
City
Glen Burnie
State
Maryland
Zip
21061-5577
Phone Number
410-768-5050
Fax Number
410-768-7830
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
43955 (Kentucky)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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