Female

Seongae Park

Acute Care Nurse Practitioner in Jersey City, NJ(View on Map)

Full Name

Seongae Park

NPI Number

1528273075

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/10/2007

Specialties

(Taxonomies)

Code

363LA2100X

Primary Taxonomy

Yes

Licenses

State

New Jersey

License Number

26NJ00112200

Contact
Information

Purpose

Mailing
Location

Address

1491 CARLISLE RD
1825 KENNEDY BOULEVARD

City

North Brunswick
Jersey City

State

NJ
NJ

Postal Code

08902-1465
07305

Country

US
US

Telephone Number

N/A
(201) 547-6100

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/24/2009

Provider Address

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