Search › New Jersey › 171100000X
Sandra Park
NPI 1285984120 · on the registry since 2012
Practice
- Address
- 103 Waterside Dr
Little Ferry, NJ 07643 - Phone
- (201) 741-7578
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 225700000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey