Eunjin Park in Greenwich - Physician Assistant

Eunjin Park - NPI 1124078449

Eunjin Park is a Physician Assistant in Greenwich, Connecticut. Eunjin Park practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Eunjin Park is 1124078449. The last update date is 2014-08-08.

Eunjin Park's current location address is 5 Perryridge Rd, Greenwich, Connecticut. You can contact this provider via phone number 9142829880. The mailing address for Eunjin Park is 5 Perryridge Rd, Greenwich, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Eunjin Park
Address 5 Perryridge Rd, Greenwich, Connecticut
Phone Number 9142829880
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1124078449
Provider Enumeration Date 2006-05-10
Last Updated Date 2014-08-08

Provider Mailing Address Detail

Address 5 Perryridge Rd
City Greenwich
State Connecticut (CT)
Post Code 68304608
Phone Number 9142829880
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 25MP00138500
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Eunjin Park

What is the unique identifier code issued to Eunjin Park by the Centers for Medicare & Medicaid Services (CMS)?

The Eunjin Park has been assigned the NPI (National Provider Identifier) 1124078449. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Eunjin Park?

The Eunjin Park is physically situated at 5 Perryridge Rd, in the city of Greenwich, state of CT, with the postal code 68304608.

What is Eunjin Park's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Eunjin Park is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1124078449 to Eunjin Park?

The Centers for Medicare & Medicaid Services assigned the 1124078449 to Eunjin Park on 2006-05-10.

As of what date was the information regarding Eunjin Park, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Eunjin Park, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-08-08.

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