Gerald Park MD

NPI 1386842540 - Anesthesiology - 207L00000X

NPI Details
NPI 1386842540
Gender Male
Enumeration Date 07/10/2007
Last Updated 05/29/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
2525 KINGS HWY
BROOKLYN NY, 11229-1705, US
Phone (718) 692-5364
Fax
Business Location
PO BOX 270
MASSAPEQUA PARK NY, 11762-0270, US
Phone (631) 264-2035
Fax (631) 264-1418
Toxanomy
Taxonomy Code 207L00000X
License State Massachusetts
License Number 245553
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According to our database, Gerald Park MD NPI is 1386842540, taxonomy code is 207L00000X and license number is 245553, license state is located at Massachusetts. Gerald Park MD physically located at 2525 Kings Hwy, Brooklyn NY, 11229-1705. NPI Number Gerald Park MD has the Individual type.

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1386842540 NPI number is provided on an as is basis without warranty of any kind. 1386842540 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Park MD are for informational purposes only.