Search › Delaware › 183500000X
Jae Park
NPI 1215488465 · on the registry since 2016
Practice
- Address
- 9202 Commercial Centre Dr
Bridgeville, DE 19933 - Phone
- (302) 337-9785
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Delaware