Dr Jong Kon Park, is a
Plastic Surgery physician based in Framingham, Massachusetts. Dr Jong Kon Park is licensed to practice in Massachusetts (license number 40148) and his current practice location is 235 Walnut St, Framingham, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(508) 879-7576.
NPI number for Dr Jong Kon Park is 1548244460 and his current mailing address is 235 Walnut St, Framingham, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548244460.
Physician's Profile
| Full Name | Dr Jong Kon Park |
|---|
| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 235 Walnut St, Framingham, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548244460
- Provider Enumeration Date: 12/05/2005
- Last Update Date: 07/13/2012
Medical Identifiers
Medical identifiers for Dr Jong Kon Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548244460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 40148 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jong Kon Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jong Kon Park,
235 Walnut St,
Framingham, MA 01702-7592
Ph: (508) 879-7576 | Dr Jong Kon Park,
235 Walnut St,
Framingham, MA 01702-7592
Ph: (508) 879-7576 |
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