ROBERT EOIN PARK MD
NPI 1457680407
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since December 21, 2009
3400 SPRUCE ST, 210 WHITE, PHILADELPHIA, PA 19104(215) 662-2884 Get Directions Write a Review

NPPES record last updated: December 21, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert Eoin Park Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT EOIN PARK MD (NPI 1457680407) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD436899) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1457680407
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameROBERT EOIN PARKCredential: MD
Location Address3400 SPRUCE ST, 210 WHITEPhiladelphia, PA 19104-4206
Mailing Address3400 Spruce St, 210 WhitePhiladelphia, PA 19104-4206 · (215) 662-2884
Sole ProprietorNo
Enumeration DateDecember 21, 2009
NPI 1457680407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License Licensed in PA · MD436899
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License MD436899 (PA)
3400 SPRUCE ST, Philadelphia, PA 19104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Park's NPI number?

The NPI number for Robert Park is 1457680407. It was assigned to this individual provider in the NPPES registry on December 21, 2009.

Where is Robert Park located?

Robert Park practices at 3400 Spruce St 210 White, Philadelphia, PA 19104. The listed phone number is (215) 662-2884.

What is Robert Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Robert Park was last updated on December 21, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.