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Physician Records
Physician Last Name
Physician First Name
Physician Middle Name
License Number
License Type
Effective Date
Date Updated
Year of Birth
Park
Jangwon
137329
MD
09/19/1997
Park
Jin
Sup
149417
MD
03/24/2016
03/17/2016
1948
Park
John
H
110946
MD
01/18/1996
Park
John
H
110946
MD
01/17/2002
01/22/2002
1938
Park
John
H
110946
MD
09/30/1996
Park
Jong
Won
167987
MD
09/25/2002
09/25/2002
1954
Park
Jong
Won
167987
MD
11/11/2005
11/04/2005
1954
Park
Joon
Myong
150828
MD
07/29/2004
07/23/2004
1946
Park
June
Young
110535
MD
08/21/1995
Park
Jung-Kie
157222
MD
04/24/2002
04/25/2002
1950
Park
Ken
178721
MD
06/13/2023
06/06/2023
1947
Park
Malsuk
209345
DO
09/22/2006
09/15/2006
1958
Park
Tae
Kyu
152709
MD
11/16/2011
11/09/2011
1945
Park
Thomas
June
110535
MD
08/21/1995
Park Avenue Comprehensive Medical Practice
P.C.
146381
08/28/2002
08/29/2002
Parker
Alton
B.
207395
MD
01/15/2024
01/08/2024
1969
Parker
Dean
Clifford
170242
MD
12/28/1994
Parker
Stefanie
022842
PA
05/28/2021
05/24/2021
1983
Parker
William
J.
138581
MD
02/07/2019
01/31/2019
1952
Parkinson
Dan
192297
MD
11/05/1997
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