PARK MEDICAL GROUP PA NPI 1386685162

NPI Information

PARK MEDICAL GROUP PA is a specialist in Harrington Park, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PARK MEDICAL GROUP PA NPI is 1386685162. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24 ELM ST
HARRINGTON PARK, NJ
ZIP 07640-902
Phone: (201) 784-0123

The provider's authorized official is Stephen Brunnquell .
The authorized official title is Delegated Official and has the following contact phone number (201) 784-0123.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 12/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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