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Dr. Janet Jeong Park
Foot & Ankle Surgery Podiatrist in Bronx, New York
NPI 1912536095

Janet Jeong Park is a Foot & Ankle Surgery Podiatrist based in Bronx, NY and is specialized in Foot & Ankle Surgery. Janet Jeong Park practices in Bronx, NY. The NPI Number for Janet Jeong Park is 1912536095 and holds a License No. (New York).

The current practice location address for Janet Jeong Park is 111 E 210Th St, Bronx, NY and can be reached out via phone at 347-577-4410.

Location: 111 E 210Th St, Bronx, NY, 10467-2401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912536095
Provider Name
Janet Jeong Park
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 E 210Th St, Bronx, NY, 10467-2401
Phone Number
347-577-4410
Fax Number
Provider Enumeration Date
04/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 E 210Th St
City
Bronx
State
New York
Zip
10467-2401
Phone Number
347-577-4410
Fax Number
person
Provider Business Mailing Address Details
Address
111 E 210Th St
City
Bronx
State
New York
Zip
10467-2401
Phone Number
347-577-4410
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
25MD00375100 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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