Park, Dean
Park, Dean is an individual health care provider with primary practice located at 4954 N Palmer Rd Rm 3656 , Bethesda MD 20889-3455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Park, Dean can be contacted via phone (301) 319-2100.Contact Information
Primary practice address
4954 N Palmer Rd Rm 3656
Bethesda MD 20889-3455
Phone: (301) 319-2100
Fax: (301) 319-2119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 01063363A | Indiana |
Profile Details
| NPI number | 1205983004 |
|---|---|
| LBN Legal business name | Park, Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Mar 16th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205983004 | NPPES |
| Indiana | Other | 146470D2 | MEDICARE PROVIDER NUMBER |
| Indiana | MEDICAID | 200861710 | MEDICARE PROVIDER NUMBER |
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