DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHANG S PARK, M.D.

Active Sole Proprietor

DR. CHANG S PARK, M.D. is a Internal Medicine healthcare provider located in FORT LEE, New Jersey. NPI 1740629948 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · FORT LEE, NJ

Registration Details

NPI Number
1740629948
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2013 (13.169676139082 yrs)
Last Updated
Jun 20, 2013
Licenses
173037-1 (NY)
25MA05299100 (NJ)
Sole Proprietor
Yes

Practice Information

Address
200 OLD PALISADE RD APT 1E
FORT LEE, NJ, 070247057
Browse NJ providers · Browse ZIP 07024
Phone
2015920619
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in FORT LEE, NJ

Name Credential NPI
DR. JOHN KIM M.D. 1659359263
MRS. PILAR SABATER MD 1306824586
MRS. IRINA GIRSHOVICH MD 1043287212
MR. MICHAEL HERNANDEZ M.D. 1700830098
FEI YU M.D. 1790727444
DR. MICHAEL LAM MD 1184656050
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.