Eunjin Park, PA
Physician Assistant, Medical in Greenwich, Connecticut
1124078449- Practice location
- 5 Perryridge RD, Greenwich, CT 06830-4608
- Phone
- 914-282-9880
- Fax
- —
- Last updated
- August 8, 2014
Eunjin Park is a Physician Assistant, Medical based in Greenwich, CT. Eunjin Park practices in Greenwich, CT and has the professional credentials of PA. The NPI Number for Eunjin Park is 1124078449 and holds a License No. 25MP00138500 (NJ). The current practice location address for Eunjin Park is 5 Perryridge RD, Greenwich, CT 06830-4608 and can be reached out via phone at 914-282-9880.
Provider Profile Details
- NPI Number
- 1124078449
- Provider Name
- Eunjin Park
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5 Perryridge RD, Greenwich, CT 06830-4608
- Phone Number
- 914-282-9880
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 10, 2006
- Last Update Date
- August 8, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 Perryridge RD
Greenwich, CT 06830-4608 - City
- Greenwich
- State
- Connecticut
- Zip
- 06830-4608
- Phone Number
- 914-282-9880
Provider Business Mailing Address Details
- Address
- 5 Perryridge RD
Greenwich, CT 06830-4608 - City
- Greenwich
- State
- CT
- Zip
- 06830-4608
- Phone Number
- 914-282-9880
License Information
- License Number (1)
- 25MP00138500
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 002071
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
- License Number (3)
- 009684
- License State (3)
- NY
- Taxonomy (3)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near Greenwich, CT
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Frequently Asked Questions
What is the NPI number of Eunjin Park, PA?
The NPI number of Eunjin Park, PA is 1124078449. It was assigned on May 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Eunjin Park, PA?
Eunjin Park, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00138500.
Where does Eunjin Park, PA practice?
The practice location is 5 Perryridge RD, Greenwich, CT 06830-4608. The office can be reached at 914-282-9880 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124078449 directly on the NPPES registry website.