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Search › New Jersey › 390200000X

Shane Park

NPI 1992551139 · on the registry since 2024

Practice

Address
110 Bergen St
Newark, NJ 07103
Phone
(973) 972-4620
Organisation at this address
Univ Of Med & Dent Of Nj
Rutgers School Of Dental Medicine
Rutgers School Of Dental Medicine
Rutgers University Diagnostic Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
161

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Male
Record last updated
2024-04-29

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