National Provider Identifier Database

SOO MI M PARK, MD – NPI #1780700781
Nuclear Imaging & Therapy


Contact Information

SOO MI M PARK, MD
493 ESSEX AVENUE
HACKENSACK, NJ07601-1215
Phone: 201-996-9244
Fax: 201-996-9243
Website:
Specialty Taxonomy Code
* Nuclear Imaging & Therapy 207UN0902X
Cardiovascular Disease 207RC0000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for SOO MI M PARK

NPI Number 1780700781
Credentials MD
Entity Individual
Enumeration date 03/21/2007
Last updated 10/15/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • NJ License #: 25MA08918200
  • NY License #: 237492
Hospital affiliation n/a

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.

Reviews for SOO MI M PARK, MD

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