Park, Eric J
Park, Eric J is an individual health care provider with primary practice located at 8600 Old Georgetown Rd , Bethesda MD 20814-1422. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Park, Eric J can be contacted via phone (301) 896-3100.Contact Information
Primary practice address
8600 Old Georgetown Rd
Bethesda MD 20814-1422
Phone: (301) 896-3100
Fax: (301) 581-0077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0060117 | Maryland |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | D60117 | Maryland |
Profile Details
| NPI number | 1932190766 |
|---|---|
| LBN Legal business name | Park, Eric J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2005 |
| Last updated | Jul 27th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932190766 | NPPES |
| Maryland | MEDICAID | 415096100 |
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