Park, David H

Park, David H is an individual health care provider with primary practice located at 263 Farmington Ave Ob/Gyn, Farmington CT 06030-6227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Park, David H can be contacted via phone (860) 679-2792.

Contact Information

Primary practice address
263 Farmington Ave Ob/Gyn Farmington CT 06030-6227
Phone: (860) 679-2792
Fax: (860) 679-8882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 044773 Connecticut

Profile Details

NPI number 1649399494
LBN Legal business name Park, David H
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Sep 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649399494 NPPES
Connecticut MEDICAID 1649399494

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