Spark Medical LLC
NPI #1467321182 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1467321182
- Entity Type
- Organization
- Organization Name
- Spark Medical LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 31, 2025
- Last Updated
- Oct 31, 2025
Practice Location
- Address
- 143 E RIDGEWOOD AVE UNIT 454
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07451-7022
- Phone
- (732) 523-4057
Authorized Official
- Name
- PAUL PARK
- Title
- MD
- Phone
- (732) 523-4057
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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