Park, Jane
Park, Jane is an individual health care provider with primary practice located at 478 Brick Blvd , Brick NJ 08723-6077. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Park, Jane can be contacted via phone (732) 701-4848.Contact Information
Primary practice address
478 Brick Blvd
Brick NJ 08723-6077
Phone: (732) 701-4848
Fax: (732) 701-1244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD434270 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | MD434270 | Pennsylvania |
Profile Details
| NPI number | 1700939956 |
|---|---|
| LBN Legal business name | Park, Jane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Oct 24th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700939956 | NPPES |
| New Jersey | MEDICAID | 02188022 |
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