Brian Park

NPI #1669929972 in Germantown, Maryland

Provider Information

NPI Number: 1669929972
Entity Type: Individual
Name: Brian Park
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 2, 2016
Last Updated: Sep 2, 2016

Practice Location

Address: 20010 CENTURY BLVD
Address 2: SUITE 200
City: Germantown
State: Maryland
ZIP Code: 20874-1115
Phone: (240) 686-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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