Healthcare Provider Details

I. General information

NPI: 1922096478
Provider Name (Legal Business Name): EKG INTERPRETERS OF SALEM COUNTY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 09/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 WOODSTOWN RD
SALEM NJ
08079-2064
US

IV. Provider business mailing address

2501 OREGON PIKE SUITE 101
LANCASTER PA
17601-4890
US

V. Phone/Fax

Practice location:
  • Phone: 856-935-6700
  • Fax: 856-935-6772
Mailing address:
  • Phone: 717-293-3223
  • Fax: 717-390-2455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN PARK
Title or Position: PRESIDENT
Credential: M.D.
Phone: 856-935-6700