HomeNPI Verification

NPI Verification

National Provider Identifier: 1104865849

Chan Park MD INC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

PO BOX 177

905 VICTORY HWY

SLATERSVILLE, RI 02876

Phone: 401-762-2728

NPI Enumeration Date

June 6, 2006

NPI Number

1104865849

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry