Individual
JOSHUA DOUGLAS PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 BRACE RD STE H, CHERRY HILL, NJ 08034
(856) 547-0389
(856) 428-4053
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA051536
PA
363AS0400X
Surgical Physician Assistant
Primary
25MP00600700
NJ
Other
Enumeration date
03/28/2007
Last updated
02/01/2021
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