Chantel Park, | |
211 S 9th St Ste 600, Philadelphia, PA 19107-6810 | |
(215) 955-8430 | |
Not Available |
Full Name | Chantel Park |
---|---|
Gender | Female |
Speciality | Rheumatology |
Experience | 12 Years |
Location | 211 S 9th St Ste 600, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306102157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | MD460654 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thomas Jefferson University Hospital | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson University Physicians | 7911819180 | 1273 |
Entity Name | Jefferson University Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
Mailing Address | Practice Location Address |
---|---|
Chantel Park, 1025 Walnut St Ste 805, Philadelphia, PA 19107-5001 Ph: (215) 955-8768 | Chantel Park, 211 S 9th St Ste 600, Philadelphia, PA 19107-6810 Ph: (215) 955-8430 |
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