Park, Chong H

Park, Chong H is an sole proprietor health care provider with primary practice located at 775 Bloomfield Ave , Montclair NJ 07042-1880. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Park, Chong H can be contacted via phone (973) 509-3401.

Contact Information

Primary practice address
775 Bloomfield Ave Montclair NJ 07042-1880
Phone: (973) 509-3401
Fax: (973) 655-1560
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 25MA04390700 New Jersey
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 25MA04390700 New Jersey

Profile Details

NPI number 1457417180
LBN Legal business name Park, Chong H
Credentials M.D., F.R.C.S.(US)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Mar 29th, 2013 - about 13 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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