Individual
HYE-RAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 W SPROUL RD STE 224, SPRINGFIELD, PA 19064-2033
(610) 789-6320
(484) 471-3917
Mailing address
100 W SPROUL RD STE 224, SPRINGFIELD, PA 19064-2033
(610) 789-6320
(484) 471-3917
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD423010
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02191
HEALTH PARTNERS
—
05
—
1015894400001
—
PA
01
—
1853548
BLSH
PA
01
—
2710482000
IBC
—
01
—
30035239
KEYSTONE MERCY
—
01
—
6775688
CIGNA
—
01
—
7060821
AETNA
—
01
—
P00367106
RAILROAD MEDICARE
—
Enumeration date
05/16/2006
Last updated
06/03/2022
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