Individual provider · Type 1 NPI

Samue C. Park, DC

Chiropractor · Fort Lee, NJ

NPI number 1801965918 Active

Practice location

810 Abbott Blvd Ste 304
Fort Lee, NJ 07024-4117

Call (201) 886-7080 Map

Fax (201) 886-8069

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XMC05716 (NJ)
Chiropractor 111N00000XX009870 (NY)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1801965918

Samue C. Park, DC's National Provider Identifier is 1801965918, issued on Nov 6, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fort Lee, NJ. The record was last updated on Jul 9, 2007.