| Shane Park, MS, RD | |
|
27 Forestdale Rd, Kinnelon, NJ 07405-2558 | |
| (973) 879-6811 | |
| Not Available |
| Full Name | Shane Park |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 27 Forestdale Rd, Kinnelon, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528639283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Park, MS, RD 27 Forestdale Rd, Kinnelon, NJ 07405-2558 Ph: () - | Shane Park, MS, RD 27 Forestdale Rd, Kinnelon, NJ 07405-2558 Ph: (973) 879-6811 |
Purnima Shivaram, Dietitian Medicare: Medicare Enrolled Practice Location: 8 Allen Dr, Kinnelon, NJ 07405 Phone: 973-519-1883 | |
Mrs. Dana Ann Jacko, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9 Brookvale Rd, Kinnelon, NJ 07405 Phone: 973-838-8128 | |
Kristin Beraitis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 51 Daniel Ln, Kinnelon, NJ 07405 Phone: 201-317-1852 |