Search › Maryland › 171100000X
Soon Park
NPI 1437623725 · on the registry since 2019
Practice
- Address
- 3344 Saint Johns Ln
Ellicott City, MD 21042 - Phone
- (301) 814-1211
- Fax
- (240) 720-4900
- Organisation at this address
- Shalom Eastern Medicine,Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-03
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 Maryland