Park, Charles W.

Park, Charles W. is an individual health care provider with primary practice located at 405 Northfield Ave Suite 204, West Orange NJ 07052-3026. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Park, Charles W. can be contacted via phone (973) 325-6120.

Contact Information

Primary practice address
405 Northfield Ave Suite 204 West Orange NJ 07052-3026
Phone: (973) 325-6120
Fax: (973) 325-6126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 25MA07374100 New Jersey
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA07374100 New Jersey

Profile Details

NPI number 1629179411
LBN Legal business name Park, Charles W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Dec 18th, 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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