Individual provider · Type 1 NPI

Peter Park, MD

Surgery Physician · Hackensack, NJ

NPI number 1164800850 Active

Practice location

20 Prospect Ave Ste 901
Hackensack, NJ 07601-1974

Call (551) 996-4777 Map

Fax (551) 996-0800

Mailing address

3600 Route 66 Fl 3
Neptune, NJ 07753-2645

Other practice locations

  • 20 York St, New Haven, CT 06510-3220 · (203) 688-4242

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XMT208732 (PA)
Surgery Physician 208600000X68994 (CT)
Surgery Physician Primary 208600000X25MA11518300 (NJ)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1164800850

Peter Park, MD's National Provider Identifier is 1164800850, issued on May 13, 2015. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Hackensack, NJ. The record was last updated on Nov 23, 2022.