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Individual

DR. SHANNON PARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
55 N GILBERT ST STE 1103, TINTON FALLS, NJ 07701-4956
(732) 447-2545
Mailing address
55 N GILBERT ST STE 1103, TINTON FALLS, NJ 07701-4956
(732) 447-2545

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MB08705600
NJ

Other

Enumeration date
07/07/2009
Last updated
09/06/2024
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