The Park Medical Group, Pa
The Park Medical Group, Pa is a health care provider in Harrington Park, NJ. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 163 Paris Ave, Northvale, NJ 07647-2028, US |
|Practice Location Phone||201-768-9090|
|Practice Location Fax||201-768-9009|
|Legal Business Name||THE PARK MEDICAL GROUP, PA|
|Enumeration Date ? ||Nov 13, 2006|
|Last Update Date ? ||Apr 20, 2008|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of The Park Medical Group, Pa
|Specialty||Provider Type||Specialization||License||License State|
|Specialist||Other Service Providers|| ||25MA05743400||New Jersey|
Legacy Provider IDs of The Park Medical Group, Pa
|Provider Id||Issuer State||Issuer Type||Issuer|
|=========||New Jersey||Other||TAX ID#|
Authorized Official of The Park Medical Group, Pa
An authorized official is an appointed official with the legal authority to make changes and/or updates to the The Park Medical Group, Pa's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Stephen Brunnquell|
|Authorized Official Title/Position||DELEGATED OFFICIAL|
|Authorized Official Phone Number||201-784-0123|