Individual
MATTHEW PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
999 RIVERVIEW DR, TOTOWA, NJ 07512-1164
(973) 523-0089
Mailing address
21 COLLURA LN, CLIFTON, NJ 07012-1660
(973) 567-8480
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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