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Organization
PALISADES PARK PAIN & REHABILITATION MEDICINE, PA
Active
Organization
PALISADES PARK PAIN & REHABILITATION MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WONIL PARK MD (PRESIDENT)
(201) 944-1124
Entity
Organization
Contact information
Practice address
784 GRAND AVE STE 301, RIDGEFIELD, NJ 07657-1043
(201) 944-1124
(201) 699-0406
Mailing address
784 GRAND AVE STE 301, RIDGEFIELD, NJ 07657-1043
(201) 944-1124
(201) 699-0406
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA58515
NJ
Other
Enumeration date
05/21/2009
Last updated
05/07/2020
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