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Individual
DR. PETER B. PARK
Active
Individual
DR. PETER B. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA07085300
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA07085300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001236
—
NJ
Enumeration date
05/24/2006
Last updated
12/19/2024
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