IndividualActive
Chong Park, M.D., F.R.C.S.(US)
NPI 1457417180 · Interventional Pain Medicine Physician · Montclair, NJ
Provider details
- NPI number
- 1457417180
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., F.R.C.S.(US)
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MA04390700 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
775 Bloomfield Ave
Montclair, NJ 07042-1880
Phone: (973) 509-3401
Fax: (973) 655-1560
Approximate (ZIP-level) locationGet directions
Mailing address
775 Bloomfield Ave
Montclair, NJ 07042-1880
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2013-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.