| NPI | 1124066048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYONG PARK President 201-460-0063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA04562300) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NJ 933910) |
| 207Q00000X Family Medicine (Licence: NJ 25MA0352770) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ 25MA08490600) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA09171800) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA08599900) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA062232) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA0497600) | |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA05208400) | |
| 207W00000X Ophthalmology (Licence: NJ 25MA063700000) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA08540700) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ MA048966) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00326000) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2014-02-11 |