Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EUGENE PARK, L.AC, PA-C
ActiveEUGENE PARK, L.AC, PA-C is a Physician Assistant healthcare provider located in FORT LEE, New Jersey. NPI 1154472546 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT LEE, NJ
Registration Details
- NPI Number
- 1154472546
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2007 (19.588745382338 yrs)
- Last Updated
- Jan 12, 2024
- Licenses
-
7437 (NY)AC8570 (CA)25MZ00169700 (NJ)25MP00577600 (NJ)PA18721 (CA)
Practice Information
- Address
-
458 WEST STFORT LEE, NJ, 070243408Browse NJ providers · Browse ZIP 07024
- Phone
- 2014747700
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Acupuncturist
- Additional Specialty
- Acupuncturist
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FORT LEE, NJ
| Name | Credential | NPI |
|---|---|---|
| MS. VANESA KODRA | PA-C | 1972102770 |
| DAVID D HAN | PA-C | 1598419798 |
| RA LA HUH | PA-C | 1134904816 |
| JENNIFER LEE QUACH | — | 1548008428 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.