Park, Erwin

Park, Erwin is an individual health care provider with primary practice located at 28 Jackson Ave Ste 1 , Pompton Plains NJ 07444-1479. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Park, Erwin can be contacted via phone (973) 831-0382.

Contact Information

Primary practice address
28 Jackson Ave Ste 1 Pompton Plains NJ 07444-1479
Phone: (973) 831-0382
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 22DI02740400 New Jersey

Profile Details

NPI number 1730527243
LBN Legal business name Park, Erwin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2013
Last updated Jul 16th, 2019 - about 6 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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