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Organization

UNITED MEDICAL PC

Active
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Organization

UNITED MEDICAL PC

Active
Parent organization
UNITED MEDICAL PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNITED MEDICAL PC
Authorized official
DR. BYONG PARK M.D. (PRESIDENT & MEDICAL DIRECTOR)
(201) 460-0063
Entity
Organization

Contact information

Practice address
300 PARKER AVE, CLIFTON, NJ 07011-1456
(973) 548-6844
(973) 546-7707
Mailing address
612 RUTHERFORD AVE, LYNDHURST, NJ 07071-1217
(201) 460-0063
(201) 460-1684

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
933910
NJ
207Q00000X
Family Medicine Physician
25MA03527700
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
25MA08490600
NJ
207R00000X
Internal Medicine Physician
25MA07920500
NJ
207R00000X
Internal Medicine Physician
Primary
25MA08015300
NJ
207R00000X
Internal Medicine Physician
25MA08431800
NJ
207RC0000X
Cardiovascular Disease Physician
25MA05539300
NJ
213E00000X
Podiatrist
25MD00232400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0251623
NJ
Enumeration date
03/18/2011
Last updated
03/18/2011
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