Park, Hyeun S

Park, Hyeun S is an individual health care provider with primary practice located at 415 Boulevard , Mountain Lakes NJ 07046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Park, Hyeun S can be contacted via phone (973) 334-7700.

Contact Information

Primary practice address
415 Boulevard Mountain Lakes NJ 07046
Fax: (973) 334-7116
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA08032900 New Jersey

Profile Details

NPI number 1235226960
LBN Legal business name Park, Hyeun S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Aug 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235226960 NPPES
New Jersey Other 25MA08032900 MEDICAL LICENCE

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