DANIEL BORAM PARK

CHARLESTON, SC
NPI1730317397
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0204X Pediatrics Pediatric Emergency Medicine
(Licence: SC  34501)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
208000000X Pediatrics
(Licence: SC  34501)
Enumeration Date2009-06-22
Last Update Date2017-01-18
Business Address
DR. DANIEL BORAM PARK M.D.
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
Mailing Address
DR. DANIEL BORAM PARK M.D.
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200