Individual
DR. MADELINE NAHJIN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-5593
Mailing address
130 OVERLOOK AVE APT 4E, HACKENSACK, NJ 07601-2234
(201) 394-4530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02740700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
05/04/2018
Last updated
01/31/2019
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