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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700939956 NPPES
New Jersey MEDICAID 02188022

Popular Providers