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Organization
UNITED MEDICAL PC
Active
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
1117 ROUTE 46, SUITE 205, CLIFTON, NJ 07013-2449
(973) 471-0981
(973) 471-5818
Mailing address
612 RUTHERFORD AVE, LYNDHURST, NJ 07071-1217
(201) 460-0063
(201) 460-1684
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04594000
NJ
207RH0003X
Hematology & Oncology Physician
25MA03065000
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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