IndividualActive
Brian Park, MD
NPI 1396969598 · Otolaryngology Physician · Newton, MA
Provider details
- NPI number
- 1396969598
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 239954 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2000 Washington St
Green Building -- Suite 668
Newton, MA 02462-1650
Phone: (617) 630-1699
Approximate (ZIP-level) locationGet directions
Mailing address
2000 Washington St
Newton, MA 02462-1650
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2010-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.