# HANMI MEDICAL ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164683017
- **Authorized official:** DR. WONIL PARK MD (PRESIDENT)
- **Authorized official phone:** (201) 346-0999

## Contact information

- **Practice address:** 784 GRAND AVE STE 201, RIDGEFIELD, NJ 07657-1043
- **Practice address phone:** (201) 724-6410
- **Practice address fax:** (201) 346-0118
- **Mailing address:** 784 GRAND AVE STE 201, RIDGEFIELD, NJ 07657-1043
- **Mailing address phone:** (201) 724-6410
- **Mailing address fax:** (201) 346-0118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25MA05730500 | NJ | — |
| 207R00000X | Internal Medicine Physician | 25MA05851500 | NJ | Yes |

## Other

- **Enumeration date:** 06/23/2008
- **Last updated:** 05/07/2020