IndividualActive
John Park, M.D.
NPI 1083690200 · Colon & Rectal Surgery Physician · Allentown, PA
Provider details
- NPI number
- 1083690200
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD071167L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1255 S Cedar Crest Blvd
Suite 3900
Allentown, PA 18103-6256
Phone: (610) 402-1095
Fax: (610) 435-5003
Approximate (ZIP-level) locationGet directions
Mailing address
1255 S Cedar Crest Blvd
Allentown, PA 18103-6256
Registry dates
- Enumerated
- 2005-12-20
- Last updated
- 2015-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.