Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD452074 | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD452074 | PA |
N | 207RH0002X | Hospice and Palliative Medicine | MD452074 | PA |
NPI | 1932401544 |
---|---|
Provider Name | Esther Sung Hee Pak |
First Address | Philadelphia, PA 19104-4238 |
Second Address | Philadelphia, PA 19104-5127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2010 |
Last Update Date | 11/10/2021 |