Individual
DR. TAE KEUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, DEPARTMENT OF EMERGENCY MEDICINE, MANHASSET, NY 11030-3816
(516) 562-2925
Mailing address
718 TEANECK RD DEPT OF, TEANECK, NJ 07666-4245
(201) 833-3913
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA08835000
NJ
207PS0010X
Sports Medicine (Emergency Medicine) Physician
252574
NY
207PS0010X
Sports Medicine (Emergency Medicine) Physician
25MA08835000
NJ
207PS0010X
Sports Medicine (Emergency Medicine) Physician
A104548
CA
Other
Enumeration date
05/18/2009
Last updated
07/21/2022
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