Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Yeonsoo Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912606732

Yeonsoo Park is a Student in an Organized Health Care Education/Training Program in Belmont, Massachusetts. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

115 Mill St
Belmont, MA 02478-1064
Phone: (617) 855-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1912606732
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 1, 2023
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address313 W Catalpa Dr, Mishawaka, IN 46545-3169

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