Dr JOHN PARK is a male medical professional, specializing in Colorectal Surgery (proctology). He graduated in 1995 from Umdnj-new Jersey Medical School.
LEHIGH VALLEY PHYSICIAN GROUP
401 N 17TH ST
105 LV SPECIALTY CARE PHYSICIANS PRACTICE
ALLENTOWN
PA
181045049
Tel: 6109694470
| Npi | 1083690200 |
| Pac Id | 7719075522 |
| Professional Enrollment Id | I20081125000368 |
| Last Name | PARK |
| First Name | JOHN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 1995 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
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| Organization Legal Name | LEHIGH VALLEY PHYSICIAN GROUP |
| Group Practice Pac Id | 3072425123 |
| Number Of Group Practice Members | 1138 |
| Line 1 Street Address | 401 N 17TH ST |
| Line 2 Street Address | 105 LV SPECIALTY CARE PHYSICIANS PRACTICE |
| Marker Of Address Line 2 Suppression | |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 181045049 |
| Phone Number | 6109694470 |
| Hospital Affiliation Ccn 1 | 390133 |
| Hospital Affiliation Lbn 1 | LEHIGH VALLEY HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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