Search › New Jersey › 133V00000X
Shane Park, MS, RD
NPI 1528639283 · on the registry since 2021
Practice
- Address
- 27 Forestdale Rd
Kinnelon, NJ 07405 - Phone
- (973) 879-6811
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Sex
- Male
- Record last updated
- 2021-07-05
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