Chan Hoon Park, MD | |
905 Victory Hwy, Slatersville, RI 02876 | |
(401) 762-2728 | |
(401) 762-0473 |
Full Name | Chan Hoon Park |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 905 Victory Hwy, Slatersville, Rhode Island |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700092103 | NPI | - | NPPES |
001727 | Other | RI | BLUE CHIP |
1260-1 | Other | RI | BLUE CROSS BLUE SHIELD |
0100118 | Other | PR | UNITED HEALTHCARE |
9001260 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD 5083 (Rhode Island) | Primary |
Mailing Address | Practice Location Address |
---|---|
Chan Hoon Park, MD 905 Victory Hwy, Po Box 177, Slatersville, RI 02876 Ph: (401) 762-2728 | Chan Hoon Park, MD 905 Victory Hwy, Slatersville, RI 02876 Ph: (401) 762-2728 |
Dr. Emily Jane Ackerman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 261 Main St Ste 102, Slatersville, RI 02876 Phone: 401-597-5656 Fax: 401-597-5671 |