The Park Medical Group, PA
NPI #1275604894 in Tenafly, New Jersey
Provider Information
- NPI Number
- 1275604894
- Entity Type
- Organization
- Organization Name
- The Park Medical Group, PA
- Primary Specialty
- Specialist
- Enumeration Date
- Nov 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 274 COUNTY RD
- Address 2
- SUITE A
- City
- Tenafly
- State
- New Jersey
- ZIP Code
- 07670-1040
- Phone
- (201) 568-0493
Authorized Official
- Name
- STEPHEN BRUNNQUELL
- Title
- DELEGATED OFFICIAL
- Phone
- (201) 784-0123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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