Hyon Ju Park
Internist Rheumatology
137 Lankenau Medical Building W
Wynnewood
, Pennsylvania 19096-3453
Hyon Ju Park
Internist Rheumatology
137 Lankenau Medical Building W
Wynnewood
, Pennsylvania 19096-3453
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About
Features
Specialties
- Internist
- Rheumatology
Languages spoken
- English
Location
First Address
- Hyon Ju Park
- 200 Hygeia Dr Cchs Physician Contracting, Suite 2300
- Newark, DE
- Zip : 19713-2049
- Phone :
Second Address
- Hyon Ju Park
- 137 Lankenau Medical Building W
- Wynnewood, PA
- Zip : 19096-3453
- Fax : (610) 896-9652
- Phone : (610) 896-8400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 2007017292 | MO |
| N | 111NI0900X | Internist | 2007017292 | MO |
| N | 207RR0500X | Rheumatology | C1-0011316 | DE |
| Y | 207RR0500X | Rheumatology | MD448227 | PA |
National Provider Identifier
| NPI | 1083810048 |
|---|---|
| Provider Name | Hyon Ju Park |
| First Address | Newark, DE 19713-2049 |
| Second Address | Wynnewood, PA 19096-3453 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2007 |
| Last Update Date | 26/06/2020 |
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.