Individual provider · Type 1 NPI

Ju Ae Park, MD

Student in an Organized Health Care Education/Training Program · Falls Church, VA

NPI number 1740743244 Active

Practice location

3300 Gallows Rd
Falls Church, VA 22042-3307

Call (703) 776-4001 Map

Mailing address

201 Lyons Ave # 3
Newark, NJ 07112-2027

Other practice locations

  • 201 Lyons Ave # 3, Newark, NJ 07112-2027 · (973) 926-7529

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X25MA12622200 (NJ)

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 1740743244

Ju Ae Park, MD's National Provider Identifier is 1740743244, issued on Apr 11, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Falls Church, VA. The record was last updated on Apr 8, 2025.