Individual
KRYSTAL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 PLAINSBORO RD, PLAINSBORO, NJ 08536-1913
(609) 853-6049
(609) 853-7221
Mailing address
1 PLAINSBORO RD, PLAINSBORO, NJ 08536-1913
(908) 601-3407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA12284300
NJ
208M00000X
Hospitalist Physician
25MA12284300
NJ
Other
Enumeration date
03/26/2019
Last updated
04/11/2025
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