Individual provider · Type 1 NPI

Robert Eoin Park, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1457680407 Active

Practice location

3400 Spruce St, 210 White
Philadelphia, PA 19104-4206

Call (215) 662-2884 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Cardiac Electrophysiology Physician 207RC0001XMD436899 (PA)
Student in an Organized Health Care Education/Training Program Primary 390200000XMD436899 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457680407

Robert Eoin Park, MD's National Provider Identifier is 1457680407, issued on Dec 21, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 21, 2009.