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

SOO-MI MI PARK, MD

Active

SOO-MI MI PARK, MD is a Nuclear Imaging & Therapy healthcare provider located in HACKENSACK, New Jersey. NPI 1780700781 is currently active in the NPPES registry. Verify at CMS.

Nuclear Imaging & Therapy · HACKENSACK, NJ

Registration Details

NPI Number
1780700781
Provider Type
Individual
Gender
Female
NPI Issued
Mar 21, 2007 (19.414648251247 yrs)
Last Updated
Oct 15, 2013
Licenses
237492 (NY)
25MA08918200 (NJ)
25MA08918200 (NJ)
25MA08918200 (NJ)

Practice Information

Address
493 ESSEX AVENUE
HACKENSACK, NJ, 076011215
Browse NJ providers · Browse ZIP 07601
Phone
2019969244
Fax
2019969243
Primary Specialty
Nuclear Imaging & Therapy
207UN0902X
Additional Specialty
Nuclear Imaging & Therapy
Additional Specialty
Cardiovascular Disease
Additional Specialty
Internal Medicine
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.