National Provider Identifier
Andrew Jae-Min Park, MD
Andrew Jae-Min Park, MD is listed in the NPPES registry with a primary specialty of Student In An Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (555) 279-4800.
Profile Overview
- NPI
- 1376167643
- Provider Type
- Individual
- Primary Specialty
- Student In An Organized Health Care Education/Training Program
- Enumeration Date
- June 02, 2020
- Last Updated
- April 27, 2022
Practice Location
- 777 Clinton Ave S
- Rochester, NY 14620-1448
Phone: (555) 279-4800
Specialties
- Student In An Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1376167643
- Entity Type
- Individual
- Last Name
- Park
- First Name
- Andrew
- Middle Name
- Jae-Min
- Name Prefix
- Mr.
- Credential
- MD
- Mailing Street Address
- 777 Clinton Ave S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-1448
- Mailing Country
- US
- Mailing Phone
- (585) 279-4800
- Practice Street Address
- 777 Clinton Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1448
- Practice Country
- US
- Practice Phone
- (555) 279-4800
- Enumeration Date
- June 02, 2020
- Last Updated
- April 27, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 27, 2022
- Taxonomies
- Student In An Organized Health Care Education/Training Program (390200000X)