Individual
MRS. SUN JA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSRD
Contact information
Practice address
1435 LIBERTY ST, HAMILTON, NJ 08629-2220
(609) 599-5433
(609) 475-4661
Mailing address
1435 LIBERTY ST, HAMILTON, NJ 08629-2220
(609) 599-5433
(609) 475-4661
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169129
—
NJ
Enumeration date
09/25/2012
Last updated
09/25/2012
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