Doctor Name: | JAMES J PARK |
NPI Number: | 1497895056 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD425889 |
Business Practice Address: | 718 Teaneck Rd Teaneck, NJ - 076664245 |
Business Phone Number: | 2018333280 |
Business Fax Number: | 2015415919 |
Mailing Address: | Po Box 13636, PHILADELPHIA |
State: | PA |
Postal Code: | 191013636 |
Phone Number: | 2018333280 |
Fax Number: | 2015415919 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 06/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD425889 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |