Individual
SOO HYUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(708) 510-9333
Mailing address
221 KELTON ST APT 18, ALLSTON, MA 02134-4313
(708) 510-9333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00949800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2025
Last updated
08/11/2025
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