SearchNew Jersey208VP0014X

Chong Park, M.D., F.R.C.S.(US)

NPI 1457417180 · on the registry since 2006 · sole proprietor

Practice

Address
775 Bloomfield Ave
Montclair, NJ 07042
Phone
(973) 509-3401
Fax
(973) 655-1560

Registry record

Primary taxonomy
208VP0014X
208VP0014X
Also registered as
207LP2900X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-03-29

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