Individual
JI HAE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 1ST ST, PALISADES PARK, NJ 07650-2662
(201) 240-8599
(201) 204-8599
Mailing address
500 1ST ST, PALISADES PARK, NJ 07650-2662
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
P06084010062881
NJ
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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