Individual provider · Type 1 NPI
Janet Jeong Park
Foot & Ankle Surgery Podiatrist · Bronx, NY
NPI number
1912536095
Active
Practice location
111 E 210th St
Bronx, NY 10467-2401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 25MD00375100 (NJ) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1912536095
Janet Jeong Park's National Provider Identifier is 1912536095, issued on Apr 2, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Bronx, NY. The record was last updated on May 25, 2023.