NPI 1083690200

John S Park, MD

Practitioner Colon & Rectal Surgery Physician Allentown, PA

Practice location

Address: 1255 S Cedar Crest Blvd Suite 3900, Allentown, PA 18103-6256
Phone: (610) 402-1095
Fax: (610) 435-5003

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence MD071167L (PA)

Other Colon & Rectal Surgery providers in Pennsylvania →

Registry record

NPI: 1083690200
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Dec 2005
Record last updated: 18 Mar 2015

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.