Individual
CLAIRE S PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(201) 927-1629
Mailing address
PO BOX 1139, ALPINE, NJ 07620-1139
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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