Park, Chonghyo Thomas

Park, Chonghyo Thomas is an sole proprietor health care provider with primary practice located at 44 Sylvan Ave Suite 2C, Englewood Cliffs NJ 07632-2426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Park, Chonghyo Thomas can be contacted via phone (201) 242-1002.

Contact Information

Primary practice address
44 Sylvan Ave Suite 2C Englewood Cliffs NJ 07632-2426
Phone: (201) 242-1002
Fax: (201) 242-1012
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA68348 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 187394-1 New York

Profile Details

NPI number 1073629200
LBN Legal business name Park, Chonghyo Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1073629200 NPPES
New Jersey MEDICAID 7931107

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