Robert Eoin Park, MD is a
Student In An Organized Health Care Education/training Program physician based in Philadelphia, Pennsylvania. Robert Eoin Park is licensed to practice in Pennsylvania (license number MD436899) and his current practice location is 3400 Spruce St, 210 White, Philadelphia, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(215) 662-2884.
NPI number for Robert Eoin Park is 1457680407 and his current mailing address is 3400 Spruce St, 210 White, Philadelphia, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457680407.
Physician's Profile
Full Name | Robert Eoin Park |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3400 Spruce St, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457680407
- Provider Enumeration Date: 12/21/2009
- Last Update Date: 12/21/2009
Medical Identifiers
Medical identifiers for Robert Eoin Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457680407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | MD436899 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | MD436899 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Eoin Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Robert Eoin Park, MD 3400 Spruce St, 210 White, Philadelphia, PA 19104-4206 Ph: (215) 662-2884 | Robert Eoin Park, MD 3400 Spruce St, 210 White, Philadelphia, PA 19104-4206 Ph: (215) 662-2884 |
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