Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Chang S Park, MD

Individual provider Internal Medicine Physician · NPI 1740629948

Dr. Chang S Park, MD is an Internal Medicine Physician in Fort Lee, New Jersey. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Old Palisade Rd Apt 1E
Fort Lee, NJ 07024-7057
Phone: (201) 592-0619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 173037-1 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 25MA05299100 (NJ)

Record details

NPI number1740629948
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 20, 2013
Last updated in NPPESJune 20, 2013

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