Dr Sae-yoon Sharon Park, MD | |
3400 Box Hill Corporate Center Dr Ste 100, Abingdon, MD 21009-1290 | |
(800) 777-7904 | |
Not Available |
Full Name | Dr Sae-yoon Sharon Park |
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Gender | Female |
Speciality | Family Medicine |
Location | 3400 Box Hill Corporate Center Dr Ste 100, Abingdon, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265927321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D92535 (Maryland) | Primary |
Entity Name | Maryland Family Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718256 PECOS PAC ID: 5092629394 Enrollment ID: O20031119000273 |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
Mailing Address | Practice Location Address |
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Dr Sae-yoon Sharon Park, MD 3400 Box Hill Corporate Center Dr Ste 100, Abingdon, MD 21009-1290 Ph: (410) 515-5440 | Dr Sae-yoon Sharon Park, MD 3400 Box Hill Corporate Center Dr Ste 100, Abingdon, MD 21009-1290 Ph: (800) 777-7904 |
Doreen Jones, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 602 N Branch Ct, Abingdon, MD 21009 Phone: 443-616-5696 | |
Dr. Dorothea Tucker, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3445 Box Hill Corporate Center Dr, E, Abingdon, MD 21009 Phone: 410-515-3500 Fax: 410-515-2504 |