Hyeun S Park, MD | |
415 Boulevard, Mountain Lakes, NJ 07046 | |
(973) 334-7700 | |
(973) 334-7116 |
Full Name | Hyeun S Park |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 415 Boulevard, Mountain Lakes, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235226960 | NPI | - | NPPES |
25MA08032900 | Other | NJ | MEDICAL LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 25MA08032900 (New Jersey) | Primary |
Entity Name | New Jersey Medical Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994598 PECOS PAC ID: 1052719473 Enrollment ID: O20211014002054 |
Mailing Address | Practice Location Address |
---|---|
Hyeun S Park, MD 415 Boulevard, Mountain Lakes, NJ 07046 Ph: (973) 334-7700 | Hyeun S Park, MD 415 Boulevard, Mountain Lakes, NJ 07046 Ph: (973) 334-7700 |
Christopher Michael Tully, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 333 Route 46 W, Mountain Lakes, NJ 07046 Phone: 973-316-1701 Fax: 973-316-1708 | |
Ronald D Massari, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 356 Route 46 E, Mountain Lakes, NJ 07046 Phone: 973-586-3400 Fax: 973-586-1916 | |
Keith S Leibowitz, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 415 Boulevard, Mountain Lakes, NJ 07046 Phone: 973-334-7700 Fax: 973-402-5847 | |
Paul D Derenzi, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 415 Boulevard, Mountain Lakes, NJ 07046 Phone: 973-334-7700 Fax: 973-402-5847 | |
Philip S Rogers, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 415 Boulevard, Mountain Lakes, NJ 07046 Phone: 973-334-7700 Fax: 973-402-5847 | |
Dr. Muhammad R. Abbasi, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 333 Route 46 W, Mountain Lakes, NJ 07046 Phone: 973-316-1701 Fax: 973-316-1708 |