Individual
ISAAC PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 NEWARK AVE STE 307, JERSEY CITY, NJ 07306-1353
(201) 418-9111
Mailing address
7761 CRYSTAL BROOK WAY, HANOVER, MD 21076-1869
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00802900
NJ
Other
Enumeration date
02/26/2024
Last updated
03/02/2024
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