Shane Park, MS, RD

NPI #1528639283 in Kinnelon, New Jersey

Provider Information

NPI Number: 1528639283
Entity Type: Individual
Name: Shane Park, MS, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MS, RD
Enumeration Date: Jul 5, 2021
Last Updated: Jul 5, 2021

Practice Location

Address: 27 FORESTDALE RD
City: Kinnelon
State: New Jersey
ZIP Code: 07405-2558
Phone: (973) 879-6811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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