# EAR, NOSE AND THROAT GROUP OF CENTRAL NEW JERSEY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ear, nose and throat group of cnj
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669924718
- **Authorized official:** DR. ROBERT I PARK MD (CEO)
- **Authorized official phone:** (732) 205-1311

## Contact information

- **Practice address:** 2124 OAK TREE RD FL 2, EDISON, NJ 08820
- **Practice address phone:** (732) 205-1311
- **Practice address fax:** (732) 205-9648
- **Mailing address:** 23 NEVSKY ST, EDISON, NJ 08820-2425
- **Mailing address phone:** (732) 205-1311
- **Mailing address fax:** (732) 205-9648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 25MA05408700 | NJ | Yes |

## Other

- **Enumeration date:** 10/25/2016
- **Last updated:** 06/27/2018