Park, Sungdo

Park, Sungdo is an individual health care provider with primary practice located at 97 West Parkway Chilton Memorial Hospital, Pompton Plains NJ 07444. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Park, Sungdo can be contacted via phone (973) 831-5000.

Contact Information

Primary practice address
97 West Parkway Chilton Memorial Hospital Pompton Plains NJ 07444
Phone: (973) 831-5000
Fax: (201) 444-3604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA03039600 New Jersey

Profile Details

NPI number 1699733915
LBN Legal business name Park, Sungdo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699733915 NPPES
New Jersey MEDICAID 1795601

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