Individual provider · Type 1 NPI

Chan H. Park, MD

Nuclear Imaging & Therapy Physician · Philadelphia, PA

NPI number 1659384774 Active

Practice location

3900 Woodland Ave
Philadelphia, PA 19104-4551

Call (215) 823-6270 Map

Mailing address

111 Camelot Ln
Newtown Square, PA 19073-4412

Specialties and licenses

TaxonomyCodeLicense
Nuclear Cardiology Physician 207UN0901XMD031852L (PA)
Nuclear Imaging & Therapy Physician Primary 207UN0902XMD031852L (PA)

Nuclear Imaging & Therapy Physician: A nuclear medicine physician who specializes in nuclear imaging and therapy.

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About NPI 1659384774

Chan H. Park, MD's National Provider Identifier is 1659384774, issued on Aug 14, 2006. The primary taxonomy on file is Nuclear Imaging & Therapy Physician (207UN0902X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 11, 2025.