DR. Soo Woong Park, M.D.

NPI #1205833910 in Fairfax, Virginia

Provider Information

NPI Number: 1205833910
Entity Type: Individual
Name: DR. Soo Woong Park, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 7, 2005
Last Updated: Nov 13, 2009

Practice Location

Address: 10680 MAIN ST
Address 2: STE 130
City: Fairfax
State: Virginia
ZIP Code: 22030-3811
Phone: (703) 273-6802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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