Organization
HANMI MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WONIL PARK MD (PRESIDENT)
(201) 346-0999
Entity
Organization
Contact information
Practice address
784 GRAND AVE STE 201, RIDGEFIELD, NJ 07657-1043
(201) 724-6410
(201) 346-0118
Mailing address
784 GRAND AVE STE 201, RIDGEFIELD, NJ 07657-1043
(201) 724-6410
(201) 346-0118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA05730500
NJ
207R00000X
Internal Medicine Physician
Primary
25MA05851500
NJ
Other
Enumeration date
06/23/2008
Last updated
05/07/2020
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