Individual
SEONGAE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 KENNEDY BOULEVARD, JERSEY CITY, NJ 07305
(201) 547-6100
Mailing address
1491 CARLISLE RD, NORTH BRUNSWICK, NJ 08902-1465
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00112200
NJ
Other
Enumeration date
05/10/2007
Last updated
11/24/2009
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