DR. Chang S Park, M.D.

NPI #1740629948 in Fort Lee, New Jersey

Provider Information

NPI Number: 1740629948
Entity Type: Individual
Name: DR. Chang S Park, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 20, 2013
Last Updated: Jun 20, 2013

Practice Location

Address: 200 OLD PALISADE RD APT 1E
City: Fort Lee
State: New Jersey
ZIP Code: 07024-7057
Phone: (201) 592-0619

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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