person
Jung Won Park, MD
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1639418320

Jung Won Park is a Student in an Organized Health Care Education/Training Program based in Broomall, PA. Jung Won Park practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Jung Won Park is 1639418320 and holds a License No. MD444011 (Pennsylvania).

The current practice location address for Jung Won Park is 111 S 11Th St, Philadelphia, PA and can be reached out via phone at 215-955-2370 and via fax at 215-955-0677.

Location: 111 S 11Th St, Philadelphia, PA, 19008-1246
person
Provider Profile Details
NPI Number
1639418320
Provider Name
Jung Won Park
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
111 S 11Th St, Philadelphia, PA, 19008-1246
Phone Number
215-955-2370
Fax Number
215-955-0677
Provider Enumeration Date
01/31/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 S 11Th St
City
State
Zip
19107-4824
Phone Number
215-955-2370
Fax Number
215-955-0677
person
Provider Business Mailing Address Details
Address
111 S 11Th St
City
State
Zip
19107-4824
Phone Number
215-955-2370
Fax Number
215-955-0677
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
MD444011 (Pennsylvania)
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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