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Individual

DR. EDWARD S PAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7603
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7603

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0102201078
VT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
650
SC
207RP1001X
Pulmonary Disease Physician
0102201078
VA
207RP1001X
Pulmonary Disease Physician
650
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
0102201078
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
650
SC

Other

Enumeration date
12/28/2006
Last updated
04/07/2026
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