Individual provider · Type 1 NPI

Elisa Park, MD

Student in an Organized Health Care Education/Training Program · Hackensack, NJ

NPI number 1144070129 Active

Practice location

30 Prospect Ave # 4E-90
Hackensack, NJ 07601-1915

Call (551) 996-4842 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Another provider at this address

Other student in an organized health care education/training program providers in Hackensack

See all in Hackensack →

About NPI 1144070129

Elisa Park, MD's National Provider Identifier is 1144070129, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hackensack, NJ. The record was last updated on Mar 25, 2024.