| Dr Samue C Park, DC | |
|
810 Abbott Blvd Ste 304, Fort Lee, NJ 07024-4117 | |
| (201) 886-7080 | |
| (201) 886-8069 |
| Full Name | Dr Samue C Park |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 810 Abbott Blvd Ste 304, Fort Lee, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801965918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | MC05716 (New Jersey) | Primary |
| 111N00000X | Chiropractor | X009870 (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samue C Park, DC 810 Abbott Blvd Ste 304, Fort Lee, NJ 07024-4117 Ph: (201) 886-7080 | Dr Samue C Park, DC 810 Abbott Blvd Ste 304, Fort Lee, NJ 07024-4117 Ph: (201) 886-7080 |
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Triune Health Restoration Systems Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 520 Main St, Fort Lee, NJ 07024 Phone: 201-947-7805 | |
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