Park, Brian J

Park, Brian J is an individual health care provider with primary practice located at 2000 Washington St Green Building -- Suite 668, Newton MA 02462-1650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Park, Brian J can be contacted via phone (617) 630-1699.

Contact Information

Primary practice address
2000 Washington St Green Building -- Suite 668 Newton MA 02462-1650
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 239954 Massachusetts

Profile Details

NPI number 1396969598
LBN Legal business name Park, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Sep 3rd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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