Individual
JAEHYUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7400 RIVER RD APT 310, NORTH BERGEN, NJ 07047-7228
(617) 817-5979
Mailing address
7400 RIVER RD APT 310, NORTH BERGEN, NJ 07047-7228
(617) 817-5979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
048827-01
NY
225100000X
Physical Therapist
40QA02095200
NJ
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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