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1205833910
SOO WOONG PARK
FAIRFAX, VA
NPI
1205833910
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Other Name
SOO W PARK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101029694)
Enumeration Date
2005-07-07
Last Update Date
2009-11-13
Business Address
Dr. SOO WOONG PARK M.D.
10680 MAIN ST STE 130
FAIRFAX, VA 22030-3811
Phone number: 703-273-6802
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Mailing Address
Dr. SOO WOONG PARK M.D.
10680 MAIN ST STE 130
FAIRFAX, VA 22030-3811
Phone number: 703-273-6802
Copy
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