| Dr Insun Park, DC | |
|
2175 Hudson Ter, 9b, Fort Lee, NJ 07024-7721 | |
| (201) 575-2783 | |
| Not Available |
| Full Name | Dr Insun Park |
|---|---|
| Gender | Female |
| Speciality | Chiropractic |
| Experience | 30 Years |
| Location | 2175 Hudson Ter, Fort Lee, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558818385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00523300 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sportsmed Pt Llc | 0749535805 | 214 |
| Provider Name | Sportsmed Pt Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841787645 PECOS PAC ID: 0749535805 Enrollment ID: O20180614001056 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Insun Park, DC 100 Winston Dr Apt 6bn, Cliffside Park, NJ 07010-3264 Ph: (201) 575-2783 | Dr Insun Park, DC 2175 Hudson Ter, 9b, Fort Lee, NJ 07024-7721 Ph: (201) 575-2783 |
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