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Individual

DR. CHAN H PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-6270
Mailing address
111 CAMELOT LN, NEWTOWN SQUARE, PA 19073-4412
(610) 353-0479
(215) 823-4312

Taxonomy

Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
MD031852L
PA
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
MD031852L
PA

Other

Enumeration date
08/14/2006
Last updated
09/11/2025
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