# WINDSOR PARK FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922230200
- **Authorized official:** HYOUNGSUP PARK MD (OWNER)
- **Authorized official phone:** (860) 288-2750

## Contact information

- **Practice address:** 85 FELT ROAD, SUITE 501, SOUTH WINDSOR, CT 06074
- **Practice address phone:** (860) 228-2750
- **Practice address fax:** (860) 783-5460
- **Mailing address:** 85 FELT ROAD, SUITE 501, SOUTH WINDSOR, CT 06074
- **Mailing address phone:** (860) 228-2750
- **Mailing address fax:** (860) 783-5460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 043254 | CT | Yes |

## Other

- **Enumeration date:** 08/20/2009
- **Last updated:** 08/20/2009