Chanjun Park
Chanjun Park is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2024.
- Licensed in
- RI
- In the registry since
- 2024
Practice location Address checks out
593 Eddy StProvidence, RI 02903-4923
Phone: (401) 444-4741
Fax: (401) 444-4445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence LP06282 (RI) |
|---|
Record details
| NPI number | 1487401436 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | May 6, 2024 |
| Last updated in NPPES | May 29, 2024 |
| Certification date | May 29, 2024 |
| Mailing address | 593 Eddy St, Providence, RI 02903-4923 |
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Mary Catherine Pasquale
593 Eddy St, Providence, RI 02903-4923 · (401) 444-4741
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Mann Patel, MD
593 Eddy St, Providence, RI 02903-4923 · (401) 444-4741