Active NPIIndividual provider

Yeonsoo Park

Student in an Organized Health Care Education/Training Program in Belmont, Massachusetts

NPI Number1912606732
Practice location
115 Mill St, Belmont, MA 02478-1064
Fax
—
Last updated
March 1, 2023

Yeonsoo Park is a Student in an Organized Health Care Education/Training Program based in Belmont, MA. Yeonsoo Park practices in Belmont, MA. The NPI Number for Yeonsoo Park is 1912606732. The current practice location address for Yeonsoo Park is 115 Mill St, Belmont, MA 02478-1064 and can be reached out via phone at 617-855-2000.

Provider Profile Details

NPI Number
1912606732
Provider Name
Yeonsoo Park
Provider Entity Type
Individual
Gender
Male
Address
115 Mill St, Belmont, MA 02478-1064
Phone Number
617-855-2000
Sole Proprietor
No
Provider Enumeration Date
March 1, 2023
Last Update Date
March 1, 2023
Certification Date
March 1, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Mill St
Belmont, MA 02478-1064
Zip
02478-1064
Phone Number
617-855-2000
Belmont, MA 02478Get directions →

Provider Business Mailing Address Details

Address
313 W Catalpa Dr
Mishawaka, IN 46545-3169
City
Mishawaka
State
IN
Zip
46545-3169
Phone Number
574-335-9773

License Information

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 Yeonsoo Park?

The NPI number of Yeonsoo Park is 1912606732. It was assigned on March 1, 2023 and is currently active in the NPPES registry.

What is the specialty of Yeonsoo Park?

Yeonsoo Park is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Yeonsoo Park practice?

The practice location is 115 Mill St, Belmont, MA 02478-1064. The office can be reached at 617-855-2000 (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 1912606732 directly on the NPPES registry website.

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