Park, Jennifer Mijin

Park, Jennifer Mijin is an individual health care provider with primary practice located at 261 Broad Ave , Palisades Park NJ 07650-3004. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Park, Jennifer Mijin can be contacted via phone (201) 676-3003.

Contact Information

Primary practice address
261 Broad Ave Palisades Park NJ 07650-3004
Phone: (201) 676-3003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22DI02726300 New Jersey

Profile Details

NPI number 1205318060
LBN Legal business name Park, Jennifer Mijin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2018
Last updated Aug 29th, 2018 - about 6 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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