Search › Rhode Island › 207Q00000X
Chan Park, MD
NPI 1700092103 · on the registry since 2007 · sole proprietor
Practice
- Address
- 905 Victory Hwy
Slatersville, RI 02876 - Phone
- (401) 762-2728
- Fax
- (401) 762-0473
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- RI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-02-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island