Park, Chang S

Park, Chang S is an sole proprietor health care provider with primary practice located at 200 Old Palisade Rd Apt 1E , Fort Lee NJ 07024-7057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Park, Chang S can be contacted via phone (201) 592-0619.

Contact Information

Primary practice address
200 Old Palisade Rd Apt 1E Fort Lee NJ 07024-7057
Phone: (201) 592-0619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 173037-1 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA05299100 New Jersey

Profile Details

NPI number 1740629948
LBN Legal business name Park, Chang S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2013
Last updated Jun 20th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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