Individual
TERRENCE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
293 MARION AVE # 2, CLIFFSIDE PARK, NJ 07010-2614
(201) 916-0735
Mailing address
301 GLEN DR, CEDAR KNOLLS, NJ 07927-1316
(201) 916-0735
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N007212-01
NY
Other
Enumeration date
04/20/2016
Last updated
07/18/2022
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