Park, Haeseong

Park, Haeseong is an individual health care provider with primary practice located at 450 Brookline Ave , Boston MA 02215-5450. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Park, Haeseong can be contacted via phone (617) 632-4500.

Contact Information

Primary practice address
450 Brookline Ave Boston MA 02215-5450
Phone: (617) 632-4500
Fax: (617) 632-5370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 292711 Massachusetts
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 2015031847 Missouri
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 292711 Massachusetts

Profile Details

NPI number 1417118621
LBN Legal business name Park, Haeseong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Mar 6th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417118621 NPPES
Missouri MEDICAID 200026611

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