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Contact Information

JOSHUA D PARK, PA-C
1 BRACE RD STE H
CHERRY HILL, NJ08034
 Phone: 856-547-0389
 Fax: 856-428-4053
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOSHUA D PARK · (Male)

NPI # 1457470833
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/28/2007
Last updated 02/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00600700
  • PA License # MA051536
Hospital affiliation(s)
  • OUR LADY OF LOURDES MEDICAL CENTER - (Acute Care)
    1600 HADDON AVENUE
    CAMDEN, NJ 08103
  • VIRTUA WEST JERSEY HOSPITALS BERLIN - (Acute Care)
    WHITEHORSE PIKE AND TOWNSEND AVENUE
    BERLIN, NJ 08009
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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