Individual
DR. ERICA NICOLA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
95 MOUNT KEMBLE AVE, THEBAUD BLDG. 4TH FLOOR, MORRISTOWN, NJ 07960-5155
(973) 796-3600
(973) 267-3144
Mailing address
95 MOUNT KEMBLE AVE, THEBAUD BLDG. 4TH FLOOR, MORRISTOWN, NJ 07960-5155
(973) 796-3600
(973) 267-3144
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07753800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072770
—
NJ
Enumeration date
07/28/2005
Last updated
08/04/2022
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