Juyeon Park
Family Doctor
317 George St
New Brunswick
, New Jersey 08901-2008
Juyeon Park
Family Doctor
317 George St
New Brunswick
, New Jersey 08901-2008
(732) 235-6095
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Juyeon Park
- 317 George St
- New Brunswick, NJ
- Zip : 08901-2008
- Fax : (732) 235-6095
- Phone : (732) 235-8993
Second Address
- Juyeon Park
- 317 George St
- New Brunswick, NJ
- Zip : 08901-2008
- Fax : (732) 235-6095
- Phone : (732) 235-8993
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 25MA10860400 | NJ |
National Provider Identifier
| NPI | 1003349473 |
|---|---|
| Provider Name | Juyeon Park |
| First Address | New Brunswick, NJ 08901-2008 |
| Second Address | New Brunswick, NJ 08901-2008 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2017 |
| Last Update Date | 29/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.