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1225078348
JOEL T PARK
PROVIDENCE, RI
NPI
1225078348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: RI MD11591)
Enumeration Date
2006-06-07
Last Update Date
2018-08-01
Business Address
JOEL T PARK MD
593 EDDY ST
PROVIDENCE, RI 02903
Phone number: 401-444-3985
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Mailing Address
JOEL T PARK MD
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4513
Phone number: 401-444-6779
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