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Individual

SAE YEON PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1898
(201) 894-3000
Mailing address
223 GRANTWOOD BLVD, PALISADES PARK, NJ 07650-1908
(201) 961-4881

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01313400
NJ

Other

Enumeration date
05/26/2022
Last updated
05/26/2022
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