Jaesung Park, DC

NPI #1295365849 in Fort Lee, New Jersey

Provider Information

NPI Number: 1295365849
Entity Type: Individual
Name: Jaesung Park, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jan 23, 2020
Last Updated: Jan 23, 2020

Practice Location

Address: 1638 SCHLOSSER ST STE D4
City: Fort Lee
State: New Jersey
ZIP Code: 07024-5650
Phone: (201) 585-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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