DR. Jia Park, M.D

NPI #1588774921 in Bayside, New York

Provider Information

NPI Number: 1588774921
Entity Type: Individual
Name: DR. Jia Park, M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D
Enumeration Date: Aug 30, 2006
Last Updated: Feb 14, 2017

Practice Location

Address: 210-08 35TH AVENUE
City: Bayside
State: New York
ZIP Code: 11361-2979
Phone: (718) 229-4090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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