Dr. Daniel Boram Park
M.D. | Pediatric Emergency Medicine | Male
Dr. Daniel Boram Park, M.D. is a Charleston, South Carolina based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Daniel Boram Park is
171 Ashley Ave, Charleston, South Carolina - 29425-8908. He can be contacted on phone at
843-792-1414.
Dr. Daniel Boram Park is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Daniel Boram Park is
1730317397 which was assigned by NPPES on 22 Jun, 2009 and it was last updated on 18 Jan, 2017.
Dr. Daniel Boram Park license number is
34501 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in South Carolina.
Dr. Daniel Boram Park has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Daniel Boram Park basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Daniel Boram Park |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Daniel Boram Park address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 171 Ashley Ave
Charleston, SC, 29425-8908
United States |
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| Phone Number : | 843-792-1414 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1730317397 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Jun, 2009 |
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| Last Updated On : | 18 Jan, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Daniel Boram Park are as mentioned. Primary taxonomy code for Dr. Daniel Boram Park, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 34501 | SC |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 34501 | SC |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | CT |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 751461
Charlotte, NC, 28275-1461
United States |
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| Phone Number : | 843-792-6200 |
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Business Location:
Patients can refer following map for directions to
Dr. Daniel Boram Park practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.