Individual
HYEUN S PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 BOULEVARD, MOUNTAIN LAKES, NJ 07046
(973) 334-7700
(973) 334-7116
Mailing address
415 BOULEVARD, MOUNTAIN LAKES, NJ 07046
(973) 334-7700
(973) 334-7116
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08032900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08032900
MEDICAL LICENCE
NJ
Enumeration date
10/06/2006
Last updated
08/21/2013
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