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NPI Code Detail

MEDICARE: HYUNG JOO PARK

MEDICARE: HYUNG JOO PARK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician75.000080OH

General Provider Information

NPI Number : 1477354959
Entity Type Code : Individual
Provider Name (Legal Business Name) : HYUNG JOO PARK
Provider Business Mailing Address
First Line : 55 WILDING CHASE
Second Line :
City : CHAGRIN FALLS
State : OH
Zip : 44022-2500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-5522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2025
Last Update Date : 01/04/2026

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Directions to “ HYUNG JOO PARK ” Practice Location

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