Peter B. Park in Old Bridge - Diagnostic Radiology

Peter B. Park - NPI 1487609723

Peter B. Park is a Diagnostic Radiology in Old Bridge, New Jersey. Peter B. Park practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Peter B. Park is 1487609723. The last update date is 2014-07-21.

Peter B. Park's current location address is 300 Perrine Rd, Old Bridge, New Jersey. You can contact this provider via phone number 7327278346 and fax number 7327278345. The mailing address for Peter B. Park is 300 Perrine Rd, Old Bridge, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter B. Park
Address 300 Perrine Rd, Old Bridge, New Jersey
Phone Number 7327278346
Fax Number 7327278345
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1487609723
Provider Enumeration Date 2006-05-24
Last Updated Date 2014-07-21

Provider Mailing Address Detail

Address 300 Perrine Rd
City Old Bridge
State New Jersey (NJ)
Post Code 88573627
Phone Number 7327278346
Fax Number 7327278345

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 25MA07085300
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1236 NJ --

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FAQs about Peter B. Park

What is the unique identifier code issued to Peter B. Park by the Centers for Medicare & Medicaid Services (CMS)?

The Peter B. Park has been assigned the NPI (National Provider Identifier) 1487609723. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Peter B. Park is geographically located?

The Peter B. Park is physically situated at the following location: 300 Perrine Rd, Old Bridge, NJ, 88573627.

What is the Peter B. Park's specialty and taxonomy code?

The Peter B. Park's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1487609723 to Peter B. Park?

The Centers for Medicare & Medicaid Services originally issued the 1487609723 to Peter B. Park on 2006-05-24.

When was the information related to Peter B. Park most recently updated or refreshed?

The details pertaining to the Peter B. Park, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-07-21.

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