| NPI | 1013216845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYONG PARK President & Medical Director 201-460-0063 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08015300) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NJ 933910) |
| 207Q00000X Family Medicine (Licence: NJ 25MA03527700) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ 25MA08490600) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA07920500) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA08431800) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA05539300) | |
| 213E00000X Podiatrist (Licence: NJ 25MD00232400) | |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |