Organization
EAR, NOSE AND THROAT GROUP OF CENTRAL NEW JERSEY
Active
Other names
ear, nose and throat group of cnj
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT I PARK MD (CEO)
(732) 205-1311
Entity
Organization
Contact information
Practice address
2124 OAK TREE RD FL 2, EDISON, NJ 08820
(732) 205-1311
(732) 205-9648
Mailing address
23 NEVSKY ST, EDISON, NJ 08820-2425
(732) 205-1311
(732) 205-9648
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
25MA05408700
NJ
Other
Enumeration date
10/25/2016
Last updated
06/27/2018
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