Ms Sandra Sungju Park, | |
103 Waterside Dr, Little Ferry, NJ 07643-2208 | |
(201) 741-7578 | |
Not Available |
Full Name | Ms Sandra Sungju Park |
---|---|
Gender | Female |
Speciality | Acupuncturist |
Location | 103 Waterside Dr, Little Ferry, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285984120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 18KT00277700 (New Jersey) | Secondary |
171100000X | Acupuncturist | 25MZ00092100 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Sandra Sungju Park, 103 Waterside Dr, Little Ferry, NJ 07643-2208 Ph: (201) 741-7578 | Ms Sandra Sungju Park, 103 Waterside Dr, Little Ferry, NJ 07643-2208 Ph: (201) 741-7578 |
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