Samue C. Park, D.C.

Chiropractor · Fort Lee, NJ

Individual Active NPI

NPI number 1801965918

Practice location

810 Abbott Blvd Ste 304
Fort Lee, NJ 07024-4117
Phone
(201) 886-7080
Fax
(201) 886-8069

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NPI record

NPI
1801965918
Entity type
Individual (Type 1)
Enumeration date
November 6, 2006
Last updated
July 9, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X MC05716 NJ
Chiropractor 111N00000X X009870 NY

About Dr. Park

Samue C. Park, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 810 Abbott Blvd Ste 304, Fort Lee, NJ 07024-4117. The NPI number 1801965918 was assigned on November 6, 2006 and the record was last updated on July 9, 2007.

Dr. Park lists 2 licenses in the registry: #MC05716 (NJ) for Chiropractor; #X009870 (NY) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Samue C. Park, D.C.?

The NPI number is 1801965918.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (201) 886-7080.

Where is Dr. Park located?

810 Abbott Blvd Ste 304, Fort Lee, NJ 07024-4117.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 111N00000X – Chiropractor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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