Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GYU TAE PARK, D.D.S.
ActiveGYU TAE PARK, D.D.S. is a Endodontics healthcare provider located in JERSEY CITY, New Jersey. NPI 1528451937 is currently active in the NPPES registry. Verify at CMS.
Endodontics · JERSEY CITY, NJ
Registration Details
- NPI Number
- 1528451937
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2015 (11.45112038151 yrs)
- Last Updated
- Sep 30, 2019
- License
-
27541 (NJ)
Practice Information
- Address
-
846 BERGEN AVEJERSEY CITY, NJ, 073064404Browse NJ providers · Browse ZIP 07306
- Phone
- 2019461000
- Fax
- 2019461641
- Primary Specialty
-
Endodontics
1223E0200X
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.