Individual
DR. CARL H PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4060 BUTLER PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462-1560
(800) 331-6634
(267) 420-1360
Mailing address
4060 BUTLER PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462-1560
(800) 331-6634
(267) 420-1360
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA07554800
NJ
207W00000X
Ophthalmology Physician
C1-0006885
DE
207W00000X
Ophthalmology Physician
Primary
MD420861
PA
207WX0107X
Retina Specialist (Ophthalmology) Physician
25MA07554800
NJ
207WX0107X
Retina Specialist (Ophthalmology) Physician
C1-0006885
DE
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD420861
PA
Other
Enumeration date
02/13/2006
Last updated
05/06/2019
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