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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
19 E 27TH ST, BAYONNE, NJ 07002-4608
(201) 339-6111
(201) 339-6333
Mailing address
612 RUTHERFORD AVE, LYNDHURST, NJ 07071-1217
(201) 460-0063
(201) 460-1684
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
933910
NJ
152W00000X
Optometrist
27OA00343600
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
25MA08490600
NJ
207R00000X
Internal Medicine Physician
25MA04562300
NJ
207R00000X
Internal Medicine Physician
Primary
25MA04594000
NJ
207R00000X
Internal Medicine Physician
25MA07920500
NJ
207R00000X
Internal Medicine Physician
25MB05924000
NJ
207RC0000X
Cardiovascular Disease Physician
25MA06564500
NJ
213E00000X
Podiatrist
25MD00232400
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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