Soo Woong Park in Fairfax - Internal Medicine
Soo Woong Park - NPI 1205833910
Soo Woong Park is a Internal Medicine in Fairfax, Virginia. Soo Woong Park practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Soo Woong Park is 1205833910. The last update date is 2009-11-13.
Soo Woong Park's current location address is 10680 Main St, Fairfax, Virginia. You can contact this provider via phone number 7032736802 and fax number 7032733960. The mailing address for Soo Woong Park is 10680 Main St, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Soo Woong Park |
|---|---|
| Address | 10680 Main St, Fairfax, Virginia |
| Phone Number | 7032736802 |
| Fax Number | 7032733960 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205833910 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2009-11-13 |
Provider Mailing Address Detail
| Address | 10680 Main St |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220303811 |
| Phone Number | 7032736802 |
| Fax Number | 7032733960 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 101029694 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6075550 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Soo Woong Park by the Centers for Medicare & Medicaid Services (CMS)?
The Soo Woong Park has been assigned the NPI (National Provider Identifier) 1205833910. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Soo Woong Park?
The Soo Woong Park is situated at 10680 Main St, in the city of Fairfax, state of VA, with the zip code 220303811.
What is Soo Woong Park's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Soo Woong Park is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
On what date did the Soo Woong Park receive the assignment of its 1205833910 from the Centers for Medicare & Medicaid Services?
The Soo Woong Park was issued its 1205833910 by the Centers for Medicare & Medicaid Services on 2005-07-07.
As of what date were the details pertaining to Soo Woong Park last refreshed?
The information related to the Soo Woong Park, including its address, specialty, and other relevant details, was last updated on 2009-11-13.
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