Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHONG H PARK, M.D., F.R.C.S.(US)
Active Sole ProprietorDR. CHONG H PARK, M.D., F.R.C.S.(US) is a Interventional Vascular Surgery healthcare provider located in MONTCLAIR, New Jersey. NPI 1457417180 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · MONTCLAIR, NJ
Registration Details
- NPI Number
- 1457417180
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2006 (19.654076640597 yrs)
- Last Updated
- Mar 29, 2013
- Licenses
-
25MA04390700 (NJ)25MA04390700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
775 BLOOMFIELD AVEMONTCLAIR, NJ, 070421880Browse NJ providers · Browse ZIP 07042
- Phone
- 9735093401
- Fax
- 9736551560
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional Vascular Surgery
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.