Individual
DR. SAMUE C. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
810 ABBOTT BLVD STE 304, FORT LEE, NJ 07024-4117
(201) 886-7080
(201) 886-8069
Mailing address
810 ABBOTT BLVD STE 304, FORT LEE, NJ 07024-4117
(201) 886-7080
(201) 886-8069
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC05716
NJ
111N00000X
Chiropractor
X009870
NY
Other
Enumeration date
11/06/2006
Last updated
07/09/2007
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