Park, Sandra Sungju

Park, Sandra Sungju is an individual health care provider with primary practice located at 103 Waterside Dr , Little Ferry NJ 07643-2208. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Other Service Providers / Acupuncturist. Other Service Providers / Acupuncturist is her primary health care specialty. Park, Sandra Sungju can be contacted via phone (201) 741-7578.

Contact Information

Primary practice address
103 Waterside Dr Little Ferry NJ 07643-2208
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 18KT00277700 New Jersey
Other Service Providers / Acupuncturist 171100000X 25MZ00092100 New Jersey

Profile Details

NPI number 1285984120
LBN Legal business name Park, Sandra Sungju
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2012
Last updated Dec 21st, 2021 - about 3 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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