CHAN PARK MD INC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1104865849- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 905 VICTORY HIGHWAY, SLATERSVILLE, RI, 02876
- Phone
- (401) 762-2728
- Fax
- (401) 762-0473
Specialties & Taxonomies
Family Medicine
Primary License: RI #MD5083