Park, Mark

Park, Mark is an individual health care provider with primary practice located at 260 Old Hook Rd Ste 202 , Westwood NJ 07675-3123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Park, Mark can be contacted via phone (347) 948-8622.

Contact Information

Primary practice address
260 Old Hook Rd Ste 202 Westwood NJ 07675-3123
Phone: (347) 948-8622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 300173 New York
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 060757 New York
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 22DI02564200 New Jersey

Profile Details

NPI number 1912248683
LBN Legal business name Park, Mark
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2013
Last updated Oct 11th, 2019 - about 5 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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