Samuel Joon Park M.D.

NPI 1053607952 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1053607952
Gender Male
Enumeration Date 06/20/2011
Last Updated 02/25/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
43 NEW SCOTLAND AVE
ALBANY MEDICAL CENTER, MC-50
ALBANY NY, 12208-3412, US
Phone (518) 262-3593
Fax
Business Location
43 NEW SCOTLAND AVE
ALBANY MEDICAL CENTER, MC-50
ALBANY NY, 12208-3412, US
Phone (518) 262-3593
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Samuel Joon Park M.D. NPI is 1053607952, taxonomy code is 390200000X Samuel Joon Park M.D. physically located at 43 New Scotland Ave, Albany NY, 12208-3412. NPI Number Samuel Joon Park M.D. has the Individual type.

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1053607952 NPI number is provided on an as is basis without warranty of any kind. 1053607952 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Joon Park M.D. are for informational purposes only.