JAE PARK

MARLBORO, NJ
NPI1033530910
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40qa01528600)
Enumeration Date2013-12-19
Last Update Date2013-12-19
Business Address
-- JAE PARK
17 N MAIN ST
MARLBORO, NJ 07746-1439
Phone number: 732-431-2155
Mailing Address
-- JAE PARK
17 N MAIN ST
MARLBORO, NJ 07746-1439
Phone number: 732-431-2155