Individual provider · Type 1 NPI

Jae Soo Park, MD

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

NPI number 1992367320 Active

Practice location

3471 Fifth Avenue Upmc Department Of Anesthesiology, Kaufmann Bldg. Suite 402
Pittsburgh, PA 15213

Call (412) 692-4572 Map

Fax (412) 692-4515

Mailing address

3600 Forbes Avenue, Forbes Tower-Plaza Level Suite 140
Pittsburgh, PA 15213

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 1992367320

Jae Soo Park, MD's National Provider Identifier is 1992367320, issued on Jul 5, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pittsburgh, PA. The record was last updated on Jun 19, 2023.