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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.

physician-icon Basic Information

Practice Location 163 Paris Ave, Northvale, NJ 07647-2028, US
Practice Location Phone201-768-9090
Practice Location Fax201-768-9009
Legal Business NameTHE PARK MEDICAL GROUP, PA
NPI ?1184795700
Entity TypeOrganization
Enumeration Date ? Nov 13, 2006
Last Update Date ? Apr 20, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of The Park Medical Group, Pa

SpecialtySpecializationLicenseLicense State
Specialist 25MA05743400New Jersey

legacy-id-icon Legacy Provider IDs of The Park Medical Group, Pa

Provider IdIssuer StateIssuer TypeIssuer
=========New JerseyOtherTAX ID#

official-icon 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/PositionDELEGATED OFFICIAL
Authorized Official Phone Number201-784-0123