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1932141942
TAE PARK
STONY BROOK, NY
NPI
1932141942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: NY 155585)
Enumeration Date
2006-06-12
Last Update Date
2007-07-08
Business Address
Dr. TAE PARK M.D.
UNIVERSITY HOSPITAL L2
STONY BROOK, NY 11794-0001
Phone number: 631-444-2210
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Mailing Address
Dr. TAE PARK M.D.
PO BOX 1559
STONY BROOK, NY 11790-0989
Phone number: 631-444-2210
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