Individual provider · Type 1 NPI

Eugene Park, L.AC, PA-C

Physician Assistant · Fort Lee, NJ

NPI number 1154472546 Active

Practice location

458 West St
Fort Lee, NJ 07024-3408

Mailing address

24A E Edsall Blvd
Palisades Park, NJ 07650-3626

Specialties and licenses

TaxonomyCodeLicense
Acupuncturist 171100000X7437 (NY)
Acupuncturist 171100000XAC8570 (CA)
Acupuncturist 171100000X25MZ00169700 (NJ)
Physician Assistant 363A00000X25MP00577600 (NJ)
Physician Assistant 363A00000XPA18721 (CA)
Physician Assistant Primary 363A00000X025055 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1154472546

Eugene Park, L.AC, PA-C's National Provider Identifier is 1154472546, issued on Jan 15, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Lee, NJ. The record was last updated on Jan 12, 2024.