Search › New Jersey › 363A00000X
Eugene Park, L.AC, PA-C
NPI 1154472546 · on the registry since 2007
Practice
- Address
- 458 West St
Fort Lee, NJ 07024 - Phone
- (201) 474-7700
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 171100000X
171100000X
171100000X
363A00000X
363A00000X - Licence states on file
- NY, CA, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey