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Min Jung Park, DO
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1700374634

Min Jung Park is a Student in an Organized Health Care Education/Training Program based in Edison, NJ. Min Jung Park practices in Newark, NJ and has the professional credentials of DO. The NPI Number for Min Jung Park is 1700374634 and holds a License No. (New Jersey).

The current practice location address for Min Jung Park is 201 Lyons Ave, Newark, NJ and can be reached out via phone at 973-926-7471.

Location: 201 Lyons Ave, Newark, NJ, 08820-1249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700374634
Provider Name
Min Jung Park
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
201 Lyons Ave, Newark, NJ, 08820-1249
Phone Number
973-926-7471
Fax Number
Provider Enumeration Date
04/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 Lyons Ave
City
Newark
State
New Jersey
Zip
07112-2027
Phone Number
973-926-7471
Fax Number
person
Provider Business Mailing Address Details
Address
201 Lyons Ave
City
Newark
State
New Jersey
Zip
07112-2027
Phone Number
973-926-7471
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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