MEDICARE: ESTHER SUNG HEE PAK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	MD452074	PA
2	207RC0000X	Cardiovascular Disease Physician	MD452074	PA
3	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	MD452074	PA

General Provider Information

NPI Number	:	1932401544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER SUNG HEE PAK MD

Provider Business Mailing Address
First Line	:	3400 SPRUCE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4238
Country	:	US
Telephone Number	:	215-662-7355
Fax Number	:	215-349-8444

Provider Business Practice Location Address
First Line	:	3400 CIVIC CENTER BLVD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-5127
Country	:	US
Telephone Number	:	215-662-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2010
Last Update Date	:	02/02/2026

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