SANGMO PARK M.D NPI 1578827580

NPI Information

Sangmo Park, M.D is a student in an organized health care education training program in Farmington, CT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Sangmo Park, M.D NPI is 1578827580. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

263 FARMINGTON AVE
GERIATRICS ASSOCIATES MC 6232 UCONN HEALTH CTR
FARMINGTON, CT
ZIP 06032-956
Phone: (860) 679-3958

The enumeration date for this NPI number is 6/25/2012 and was last updated on 7/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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