Park, Chang S S
Park, Chang S S is an individual health care provider with primary practice located at 118 Broad Ave N9 , Palisades Park NJ 07650. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Park, Chang S S can be contacted via phone (201) 482-0439.Contact Information
Primary practice address
118 Broad Ave N9
Palisades Park NJ 07650
Phone: (201) 482-0439
Fax: (201) 482-8703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA07699600 | New Jersey |
Profile Details
| NPI number | 1275554610 |
|---|---|
| LBN Legal business name | Park, Chang S S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Aug 2nd, 2016 - about 10 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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