Individual
JAMES J PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3280
(201) 541-5919
Mailing address
PO BOX 13636, PHILADELPHIA, PA 19101-3636
(201) 833-3280
(201) 541-5919
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD425889
PA
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07859600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185868
—
NJ
Enumeration date
02/06/2007
Last updated
06/10/2014
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