Individual
JAE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 N MAIN ST, MARLBORO, NJ 07746-1439
(732) 431-2155
Mailing address
17 N MAIN ST, MARLBORO, NJ 07746-1439
(732) 431-2155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01528600
NJ
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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