Chang S S Park in Palisades Park - Specialist
Chang S S Park - NPI 1275554610
Chang S S Park is a Specialist in Palisades Park, New Jersey. Chang S S Park practices all healthcare services and medical treatments related to Specialist. The NPI Number for Chang S S Park is 1275554610. The last update date is 2016-08-02.
Chang S S Park's current location address is 118 Broad Ave N9, Palisades Park, New Jersey. You can contact this provider via phone number 2014820439 and fax number 2014828703. The mailing address for Chang S S Park is 118 Broad Ave N9, Palisades Park, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chang S S Park |
|---|---|
| Address | 118 Broad Ave N9, Palisades Park, New Jersey |
| Phone Number | 2014820439 |
| Fax Number | 2014828703 |
| Sole Proprietor | N |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1275554610 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2016-08-02 |
Provider Mailing Address Detail
| Address | 118 Broad Ave N9 |
|---|---|
| City | Palisades Park |
| State | New Jersey (NJ) |
| Post Code | 7650 |
| Phone Number | 2014820439 |
| Fax Number | 2014828703 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 25MA07699600 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identification code issued to Chang S S Park by the Centers for Medicare & Medicaid Services?
The Chang S S Park has been assigned the NPI (National Provider Identifier) 1275554610 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Chang S S Park's physical address?
The Chang S S Park is physically located at 118 Broad Ave N9, in the city of Palisades Park, NJ, with the postal code 7650.
What is the Chang S S Park's specialty and taxonomy code?
The Chang S S Park's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275554610 to Chang S S Park?
The Centers for Medicare & Medicaid Services assigned the 1275554610 to Chang S S Park on 2006-07-21.
As of what date were the Chang S S Park's details last updated?
The information pertaining to the Chang S S Park, including its address, specialty, and other details, was most recently updated on 2016-08-02.