Individual
MS. MYOUNG AE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
988 BROADWAY, BAYONNE, NJ 07002-4036
(201) 339-6111
(201) 339-6333
Mailing address
988 BROADWAY, BAYONNE, NJ 07002-4036
(201) 339-6111
(201) 339-6333
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00428200
NJ
Other
Enumeration date
04/10/2013
Last updated
05/03/2024
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