# EUGENE PARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154472546
- **Gender:** Man
- **Credential:** L.AC, PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 25MZ00169700 | NJ | — |
| 171100000X | Acupuncturist | 7437 | NY | — |
| 171100000X | Acupuncturist | AC8570 | CA | — |
| 363A00000X | Physician Assistant | 025055 | NY | Yes |
| 363A00000X | Physician Assistant | 25MP00577600 | NJ | — |
| 363A00000X | Physician Assistant | PA18721 | CA | — |

## Other

- **Enumeration date:** 01/15/2007
- **Last updated:** 01/12/2024