IndividualActive
Chantel Park
NPI 1306102157 · Rheumatology Physician · Philadelphia, PA
Provider details
- NPI number
- 1306102157
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- MD460654 (PA)
Practice location
211 S 9th St Ste 600
Philadelphia, PA 19107-6810
Phone: (215) 955-8430
Mailing address
1025 Walnut St Ste 805
Philadelphia, PA 19107-5001
Registry dates
- Enumerated
- 2012-04-05
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.