CHAN DONG PARK

MARTINSBURG, WV
NPI1407815665
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy207R00000X Internal Medicine
(Licence: WV  17219)
Enumeration Date2006-03-17
Last Update Date2007-07-08
Business Address
CHAN DONG PARK M.D.
1002 SUSHRUTA DR
MARTINSBURG, WV 25401-8897
Phone number: 304-263-0913
Mailing Address
CHAN DONG PARK M.D.
1002 SUSHRUTA DR
MARTINSBURG, WV 25401-8897
Phone number: 304-263-0913
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