Park, Taeyang

Park, Taeyang is an individual health care provider with primary practice located at 1 Diamond Hill Rd , Berkeley Heights NJ 07922-2104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Park, Taeyang can be contacted via phone (908) 277-8940.

Contact Information

Primary practice address
1 Diamond Hill Rd Berkeley Heights NJ 07922-2104
Phone: (908) 277-8940
Fax: (908) 673-7140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MA11852200 New Jersey
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1659865301
LBN Legal business name Park, Taeyang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2018
Last updated Sep 11th, 2024 - about 2 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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