Individual provider · Type 1 NPI

Andrew Jae-Min Park, MD

Student in an Organized Health Care Education/Training Program · Rochester, NY

NPI number 1376167643 Active

Practice location

777 Clinton Ave S
Rochester, NY 14620-1448

Call (555) 279-4800 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1376167643

Andrew Jae-Min Park, MD's National Provider Identifier is 1376167643, issued on Jun 2, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rochester, NY. The record was last updated on Apr 27, 2022.