CHARLES PARK

CINCINNATI, OH
NPI1972704096
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: OH  35.126455)
Additional Taxonomies208600000X Surgery
(Licence: MA  249748)
Enumeration Date2007-05-29
Last Update Date2018-03-13
Business Address
CHARLES PARK MD
234 GOODMAN ST
CINCINNATI, OH 45219-2364
Phone number: 513-475-8787
Mailing Address
CHARLES PARK MD
PO BOX 636256 CENTRAL CREDENTIALING
CINCINNATI, OH 45263-6256
Phone number: 513-585-5506
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