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Contact Information

JANE PARK, MD
478 BRICK BLVD
BRICK, NJ08723-6077
 Phone: 732-701-4848
 Fax: 732-701-1244
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JANE PARK · (Female)

NPI Number 1700939956
Status Active
Credentials MD
Entity Individual
Enumeration date 01/19/2007
Last updated 10/24/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD434270
  • NJ Medicaid 02188022
Hospital affiliation(s)
  • COMMUNITY MEDICAL CENTER - (Acute Care)
    99 RT 37 WEST
    TOMS RIVER, NJ 08755
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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