| NPI | 1093989220 |
|---|---|
| Other Name | INTERNAL MEDICINE- DR PARK |
| Entity Type | Organization |
| Authorized Contact | DAWN PADGETT Credentialing Manager 215-955-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2024-06-13 |