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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 Specialty Code Provider Type

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SOO MI M PARK · (Female)

NPI Number 1780700781
Status Active
Credentials MD
Entity Individual
Enumeration date 03/21/2007
Last updated 10/15/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA08918200
  • NY License # 237492
Hospital affiliation(s)
  • HACKENSACK UNIVERSITY MEDICAL CENTER - (Acute Care)
    30 PROSPECT AVE
    HACKENSACK, NJ 07601
  • HOLY NAME MEDICAL CENTER - (Acute Care)
    718 TEANECK RD
    TEANECK, NJ 07666
  • PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S - (Acute Care)
    7600 RIVER RD
    NORTH BERGEN, NJ 07047
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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