Organization
PRIME DIAGNOSTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANG S PARK MD (PRESIDENT)
(201) 446-6701
Entity
Organization
Contact information
Practice address
118 BROAD AVE, UNIT N9, PALISADES PARK, NJ 07650-2717
(201) 446-6701
(201) 941-1157
Mailing address
118 BROAD AVE, UNIT N9, PALISADES PARK, NJ 07650-2717
(201) 446-6701
(201) 941-1157
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
25MA05299100
NJ
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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