NPI 1073348876

Hyuckwon Park, PAC

Practitioner Physician Assistant Manassas, VA

Practice location

Address: 8609 Sudley Rd STE 105, Manassas, VA 20110-4500
Phone: (703) 393-8883
Fax: (866) 765-1362
Mailing address: 5100 Woodmere Dr # 320, Centreville, VA 20120-4325

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0110011559 (VA)

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Registry record

NPI: 1073348876
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Sep 2024
Record last updated: 24 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.