Individual
MILAE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, WHNP-BC
Contact information
Practice address
140 ALLEN RD, BASKING RIDGE, NJ 07920-2976
(973) 933-6721
Mailing address
24 MAPLE AVE, NORTH BRUNSWICK, NJ 08902-2849
(347) 699-0290
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ01417200
NJ
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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