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ALICE SOO PARK NP
NPI 1851693055
Nurse Practitioner - Adult Health in Philadelphia, PA

Active since November 22, 2010
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-3375 Get Directions Write a Review

NPPES record last updated: February 20, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Alice Soo Park Np NPPES

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

ALICE SOO PARK NP (NPI 1851693055) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP012125) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1851693055
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameALICE SOO PARKCredential: NP
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 707-4739 · Fax (215) 707-3677
Phone(215) 707-3375
Sole ProprietorNo
Enumeration DateNovember 22, 2010
Last NPPES UpdateFebruary 20, 2013
✔ NPI 1851693055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP012125
Also ListedRegistered NurseTaxonomy 163W00000X · License 567761 (NY), 26NR14281300 (NJ), RN635789 (PA)
3401 N BROAD ST, Philadelphia, PA 19140
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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.

DR. JAMIE L. GARFIELD MD
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5864
ELIZABETH DIANE DAUER MD
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3133
MARIA ESTHER ESCORCIA DE LEON M.D.
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-1622
JEONGAE YOON M.D.
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3326
DR. SUSETE CARNEIRO M.D.
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (201) 317-3485
DR. SARAH DENISE FENERTY M.D.
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-7237
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-4233
EDUARDO DOMINGUEZ CASTILLO M.D.
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5864

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 Alice Park's NPI number?

The NPI number for Alice Park is 1851693055. It was assigned to this individual provider in the NPPES registry on November 22, 2010.

Where is Alice Park located?

Alice Park practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-3375.

What is Alice Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Alice Park was last updated on February 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.