Brandon Hyungki Park, PT | |
71 S Colonial Dr, Harrington Park, NJ 07640-1066 | |
(201) 602-9726 | |
Not Available |
Full Name | Brandon Hyungki Park |
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Gender | Male |
Speciality | Physical Therapist |
Location | 71 S Colonial Dr, Harrington Park, 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 |
---|---|---|---|
1487921540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01425200 (New Jersey) | Primary |
Provider Name | Fort Lee Physical Therapy Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003050436 PECOS PAC ID: 4880747195 Enrollment ID: O20090804000725 |
Mailing Address | Practice Location Address |
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Brandon Hyungki Park, PT 71 S Colonial Dr, Harrington Park, NJ 07640-1066 Ph: (201) 602-9726 | Brandon Hyungki Park, PT 71 S Colonial Dr, Harrington Park, NJ 07640-1066 Ph: (201) 602-9726 |
Esther Y Kim, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 90 Carlton Ln, Harrington Park, NJ 07640 Phone: 201-230-1334 | |
Lauren Elisabeth Oddi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Old Hook Rd, Harrington Park, NJ 07640 Phone: 201-899-4440 | |
Spark Physical Therapy & Wellness Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Carlton Ln, Harrington Park, NJ 07640 Phone: 201-230-1334 |