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1518711399
MATTHEW JAMES PARK
SYRACUSE, NY
NPI
1518711399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-16
Last Update Date
2024-04-16
Business Address
MATTHEW JAMES PARK MD
750 E ADAMS ST
SYRACUSE, NY 13210-1834
Phone number: 315-464-5540
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Mailing Address
MATTHEW JAMES PARK MD
445 DELMAR PL
SYRACUSE, NY 13208-3110
Phone number: 626-710-3711
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