KITAE ERIC PARK

BALTIMORE, MD
NPI1225664618
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-17
Last Update Date2021-06-10
Business Address
KITAE ERIC PARK MD
601 N CAROLINE ST # 8152C
BALTIMORE, MD 21287-0006
Phone number: 410-502-7381
Mailing Address
KITAE ERIC PARK MD
40 SUNSHINE COTTAGE RD
VALHALLA, NY 10595-1524
Phone number: 914-594-4000