Dr Ducksoon Park, DC | |
464 Hudson Terr., Suite 204, Englewood Cliffs, NJ 07632-2514 | |
(201) 956-4146 | |
Not Available |
Full Name | Dr Ducksoon Park |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 28 Years |
Location | 464 Hudson Terr., Englewood Cliffs, New Jersey |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477755163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | MC05041 (New Jersey) | Primary |
111N00000X | Chiropractor | X008533 (New York) | Secondary |
Provider Name | Edison Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598364127 PECOS PAC ID: 1557772563 Enrollment ID: O20201124000584 |
Mailing Address | Practice Location Address |
---|---|
Dr Ducksoon Park, DC 464 Hudson Ter, Suite 204, Englewood Cliffs, NJ 07632-2902 Ph: (201) 956-4146 | Dr Ducksoon Park, DC 464 Hudson Terr., Suite 204, Englewood Cliffs, NJ 07632-2514 Ph: (201) 956-4146 |
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