Individual
JAESUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1638 SCHLOSSER ST STE D4, FORT LEE, NJ 07024-5650
(201) 585-8300
Mailing address
1638 SCHLOSSER ST STE D4, FORT LEE, NJ 07024-5650
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00767600
NJ
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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