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Contact Information

JANELLE L PARK, MD
580 COURT ST
KEENE, NH03431-1729
 Phone: 603-354-5400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for JANELLE L PARK · (Female)

NPI # 1033219563
Status Active
Credentials MD
Entity Individual
Enumeration date 09/24/2006
Last updated 10/11/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A78831
  • FL License # ME103816
  • NH License # 23200
  • FL Medicaid 001497200
  • FL Other 331658 AVMED
  • FL Other 146KH BCBS
  • FL Other P00811542 RR MEDICARE
Hospital affiliation(s)
  • SONORA REGIONAL MEDICAL CENTER - (Acute Care)
    1000 GREENLEY ROAD
    SONORA, CA 95370
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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