Dr. Tong S Park
Neonatal-Perinatal Doctor
3300 Gallows Rd
Falls Church
, Virginia 22042-3307
Dr. Tong S Park
Neonatal-Perinatal Doctor
3300 Gallows Rd
Falls Church
, Virginia 22042-3307
(703) 289-1414
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About
Features
Specialties
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Dr. Tong S Park
- 2730-B Prosperity Avenue
- Fairfax, VA
- Zip : 22031-2238
- Fax : (703) 289-1414
- Phone : (703) 289-1400
Second Address
- Dr. Tong S Park
- 3300 Gallows Rd
- Falls Church, VA
- Zip : 22042-3307
- Fax : (703) 289-1414
- Phone : (703) 289-1400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080N0001X | Neonatal-Perinatal Doctor | 0101031580 | VA |
National Provider Identifier
| NPI | 1023058286 |
|---|---|
| Provider Name | Dr. Tong S Park |
| First Address | Fairfax, VA 22031-2238 |
| Second Address | Falls Church, VA 22042-3307 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1434646 | ECFMG (01) | |
| 6717527 | (05) | VA |
| 6717535 | (05) | VA |
| 6792316 | (05) | VA |
| D14096 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.