Park, Jong Keun
Park, Jong Keun is an sole proprietor health care provider with primary practice located at 232 Broad Ave Ste 208 , Palisades Park NJ 07650-1565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Park, Jong Keun can be contacted via phone (201) 346-0999.Contact Information
Primary practice address
232 Broad Ave Ste 208
Palisades Park NJ 07650-1565
Phone: (201) 346-0999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 25MA08373800 | New Jersey |
Profile Details
| NPI number | 1386816858 |
|---|---|
| LBN Legal business name | Park, Jong Keun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2008 |
| Last updated | Mar 25th, 2008 - about 16 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 | 1386816858 | NPPES |
| New Jersey | Other | 25MA08373800 | NJ STATE LICENSE |
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