Individual
JUDIE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
60 2ND ST, HACKENSACK, NJ 07601-2050
(551) 996-2111
Mailing address
60 2ND ST, HACKENSACK, NJ 07601-2050
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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