Active NPIIndividual provider

Brian J Park, MD

Otolaryngology in Newton, Massachusetts

NPI Number1396969598
Practice location
2000 Washington St, Green Building -- Suite 668, Newton, MA 02462-1650
Fax
—
Last updated
September 3, 2010

Brian J Park is an Otolaryngology based in Newton, MA. Brian J Park practices in Newton, MA and has the professional credentials of MD. The NPI Number for Brian J Park is 1396969598 and holds a License No. 239954 (MA). The current practice location address for Brian J Park is 2000 Washington St, Green Building -- Suite 668, Newton, MA 02462-1650 and can be reached out via phone at 617-630-1699.

Provider Profile Details

NPI Number
1396969598
Provider Name
Brian J Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2000 Washington St, Green Building -- Suite 668, Newton, MA 02462-1650
Phone Number
617-630-1699
Primary Taxonomy
Otolaryngology · 207Y00000X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2007
Last Update Date
September 3, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
2000 Washington St
Green Building -- Suite 668
Newton, MA 02462-1650
City
Newton
Zip
02462-1650
Phone Number
617-630-1699
Newton, MA 02462Get directions →

Provider Business Mailing Address Details

Address
2000 Washington St
Green Building -- Suite 668
Newton, MA 02462-1650
City
Newton
State
MA
Zip
02462-1650
Phone Number
617-630-1699

License Information

License Number
239954
License State
MA
Taxonomy
Otolaryngology · 207Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Brian J Park, MD?

The NPI number of Brian J Park, MD is 1396969598. It was assigned on April 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Brian J Park, MD?

Brian J Park, MD is registered under the primary taxonomy Otolaryngology (code 207Y00000X), licensed in MA under license number 239954.

Where does Brian J Park, MD practice?

The practice location is 2000 Washington St, Green Building -- Suite 668, Newton, MA 02462-1650. The office can be reached at 617-630-1699 (phone).

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 1396969598 directly on the NPPES registry website.

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