Organization
PARK MEDICO CENTER
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YONG HO SHIN MD (PRESIDENT)
(973) 278-9800
Entity
Organization
Contact information
Practice address
50 PARK AVE, PATERSON, NJ 07501-2207
(973) 278-9800
(973) 278-0070
Mailing address
50 PARK AVE, PATERSON, NJ 07501-2207
(973) 278-9800
(973) 278-0070
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25MA03183100
NJ
261Q00000X
Clinic/Center
25MA038183100
NJ
261Q00000X
Clinic/Center
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Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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