Park Medical Group Pa

LBN: Park Medical Group Pa
Park Medical Group Pa is an health care organization with primary practice located at 24 Elm St , Harrington Park NJ 07640-1902. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Park Medical Group Pa can be contacted via phone (201) 784-0123, or through Brunnquell, Stephen via phone (201) 784-0123.

Contact Information

Primary practice address
24 Elm St Harrington Park NJ 07640-1902
Phone: (201) 784-0123
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brunnquell, Stephen Doctor of Medicine (MD)
Phone: (201) 784-0123

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA05743400 New Jersey

Profile Details

NPI number 1386685162
LBN Legal business name Park Medical Group Pa
DBA Doing business as
Authorized official Brunnquell, Stephen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Dec 16th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386685162 NPPES
New Jersey Other 0048302001 KEYSTONE GROUP #
New Jersey Other 0048302002 KEYSTONE GROUP #
New Jersey Other 0048302004 KEYSTONE GROUP #
New Jersey Other CB3927 KEYSTONE GROUP #
New Jersey Other 0048302001 KEYSTONE GROUP #
New Jersey MEDICAID 7298803 KEYSTONE GROUP #

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