Individual provider · Type 1 NPI

Jung Won Park, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1639418320 Active

Practice location

111 S 11th St, Suite 8280
Philadelphia, PA 19107-4824

Call (215) 955-2370 Map

Fax (215) 955-0677

Mailing address

41 Media Line Rd, Apartment B1
Broomall, PA 19008-1246

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XMD444011 (PA)

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 1639418320

Jung Won Park, MD's National Provider Identifier is 1639418320, issued on Jan 31, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 31, 2013.