Individual
MR. JU HO PARK SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 GRAND AVE, PALISADES PARK, NJ 07650-2168
(201) 944-5999
Mailing address
1609 ANN ST, FORT LEE, NJ 07024-2608
(213) 374-4565
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00128200
NJ
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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