Chan Park MD INC
NPI #1104865849 in Slatersville, Rhode Island
Provider Information
- NPI Number
- 1104865849
- Entity Type
- Organization
- Organization Name
- Chan Park MD INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 6, 2006
- Last Updated
- Feb 26, 2008
Practice Location
- Address
- 905 VICTORY HIGHWAY
- City
- Slatersville
- State
- Rhode Island
- ZIP Code
- 02876
- Phone
- (401) 762-2728
Authorized Official
- Name
- CHAN HOON PARK, MD
- Title
- OWNER
- Phone
- (401) 762-2728
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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