Individual
DR. PETER PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 PROSPECT AVE STE 901, HACKENSACK, NJ 07601-1974
(551) 996-4777
(551) 996-0800
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA11518300
NJ
208600000X
Surgery Physician
68994
CT
208600000X
Surgery Physician
MT208732
PA
Other
Enumeration date
05/13/2015
Last updated
11/23/2022
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