| Organization Name: | PARKMED ASSOCIATES INC |
| NPI Number: | 1245514249 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER B PARK (OWNER) |
| Mailing Address: | 26 Driftwood Ln Colts Neck |
| State: | NJ US |
| Postal Code: | 077222120 |
| Phone Number: | 7322442775 |
| Fax Number: | |
| NPI Enumeration Date: | 10/09/2011 |
| NPI Last Update Date: | 10/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C1101X |
| License Number: | 25MA07085300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Cardiovascular-Interventional Technology |
| Taxonomy Definition: | |