Individual provider · Type 1 NPI

Eunjin Park, PA

Medical Physician Assistant · Greenwich, CT

NPI number 1124078449 Active

Practice location

5 Perryridge Rd
Greenwich, CT 06830-4608

Call (914) 282-9880 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X25MP00138500 (NJ)
Medical Physician Assistant Primary 363AM0700X002071 (CT)
Physician Assistant 363A00000X009684 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1124078449

Eunjin Park, PA's National Provider Identifier is 1124078449, issued on May 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Greenwich, CT. The record was last updated on Aug 8, 2014.