Jay Hong-Geun Park, MD
Internal Medicine in Washington, DC. Individual provider (NPI-1).
NPI number1508355652
StatusActive
Last updated in NPPESJul 29, 2021
Details
- NPI
- 1508355652
- Entity type
- Individual (NPI-1)
- Name
- Jay Hong-Geun Park
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 3, 2018
- Certification date
- Jul 29, 2021
- Last updated
- Jul 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD049234 | DC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Hongeun Park (Former Name)
Practice location
110 Irving St Nw Ste 2a38mWashington, DC 20010-3017
Phone 202-877-4677
Mailing address
110 Irving St Nw Ste 2a38mWashington, DC 20010-3017
Phone 202-877-4677
Other practice locations
1250 E Marshall St
Richmond, VA 23298-5051
Richmond, VA 23298-5051
Phone 804-828-9726 · Fax 804-828-9726
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