Paul Park, MD is a student in an organized health care education training program in Baltimore, MD. The provider is 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. Paul Park, MD NPI is 1629537964. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
22 S GREENE ST # S11C
BALTIMORE, MD
ZIP 21201-544
Phone: (410) 328-1239
The NPI 1629537964 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/17/2019 and was last updated on 3/17/2019.