Individual
DR. PETER B. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PERRINE RD, SUITE 301, OLD BRIDGE, NJ 08857-3627
(732) 727-8346
(732) 727-8345
Mailing address
300 PERRINE RD, SUITE 301, OLD BRIDGE, NJ 08857-3627
(732) 727-8346
(732) 727-8345
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA07085300
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA07085300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001236
—
NJ
Enumeration date
05/24/2006
Last updated
12/19/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us