Individual provider · Type 1 NPI

Daniel Boram Park, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Charleston, SC

NPI number 1730317397 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-8908

Call (843) 792-1414 Map

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatrics Physician 208000000X34501 (SC)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X34501 (SC)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1730317397

Daniel Boram Park, MD's National Provider Identifier is 1730317397, issued on Jun 22, 2009. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Charleston, SC. The record was last updated on Jan 18, 2017.