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1992267587
BENJAMIN PARK
STANFORD, CA
NPI
1992267587
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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
2019-04-02
Last Update Date
2020-09-08
Business Address
BENJAMIN PARK MD, PhD
300 PASTEUR DR
STANFORD, CA 94305-2200
Phone number: 650-497-5415
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Mailing Address
BENJAMIN PARK MD, PhD
2900 N LAKE SHORE DR
CHICAGO, IL 60657-5640
Phone number: 773-665-6730
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