Mikyung Park, LIC. AC.

NPI #1225224652 in Cambridge, Massachusetts

Provider Information

NPI Number: 1225224652
Entity Type: Individual
Name: Mikyung Park, LIC. AC.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: LIC. AC.
Enumeration Date: Sep 19, 2007
Last Updated: Sep 19, 2007

Practice Location

Address: 1493 CAMBRIDGE HOSPITAL
Address 2: 4 WEST
City: Cambridge
State: Massachusetts
ZIP Code: 02139
Phone: (617) 665-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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