Park, James J

Park, James J is an sole proprietor health care provider with primary practice located at 718 Teaneck Rd , Teaneck NJ 07666-4245. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Park, James J can be contacted via phone (201) 833-3280.

Contact Information

Primary practice address
718 Teaneck Rd Teaneck NJ 07666-4245
Phone: (201) 833-3280
Fax: (201) 541-5919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD425889 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA07859600 New Jersey

Profile Details

NPI number 1497895056
LBN Legal business name Park, James J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Jun 10th, 2014 - about 10 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 1497895056 NPPES
New Jersey MEDICAID 0185868

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