| Ms Sandra Sungju Park, | |
|
103 Waterside Dr, Little Ferry, NJ 07643-2208 | |
| (201) 741-7578 | |
| Not Available |
| Full Name | Ms Sandra Sungju Park |
|---|---|
| Gender | Female |
| Speciality | Acupuncturist |
| Location | 103 Waterside Dr, Little Ferry, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285984120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 18KT00277700 (New Jersey) | Secondary |
| 171100000X | Acupuncturist | 25MZ00092100 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Sandra Sungju Park, 103 Waterside Dr, Little Ferry, NJ 07643-2208 Ph: (201) 741-7578 | Ms Sandra Sungju Park, 103 Waterside Dr, Little Ferry, NJ 07643-2208 Ph: (201) 741-7578 |
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