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Search › New Jersey › 207RG0100X

Taeyang Park, MD

NPI 1659865301 · on the registry since 2018

Practice

Address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone
(908) 277-8940
Fax
(908) 673-7140
Organisation at this address
Walgreen Co
Summit Medical Group Pa
Summit Medical Group Pa
Summit Medical Group Pa
Summit Medical Group Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
497

Registry record

Primary taxonomy
207RG0100X
207RG0100X
Also registered as
390200000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-11

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