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Individual

DR. KRYSTLE HAVER PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
42 FORREST RD, RANDOLPH, NJ 07869-4328
(908) 675-1765

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ15400100
NJ

Other

Enumeration date
08/27/2025
Last updated
08/27/2025
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