Individual
CHANG S S PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
118 BROAD AVE N9, PALISADES PARK, NJ 07650
(201) 482-0439
(201) 482-8703
Mailing address
118 BROAD AVE N9, PALISADES PARK, NJ 07650
(201) 482-0439
(201) 482-8703
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07699600
NJ
Other
Enumeration date
07/21/2006
Last updated
08/02/2016
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