Individual
JEONGSUN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
(201) 293-4389
Mailing address
277 TOM HUNTER RD, FORT LEE, NJ 07024-5301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04010900
NJ
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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