Individual
EUNJIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(914) 282-9880
Mailing address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(914) 282-9880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
009684
NY
363A00000X
Physician Assistant
25MP00138500
NJ
363AM0700X
Medical Physician Assistant
Primary
002071
CT
Other
Enumeration date
05/10/2006
Last updated
08/08/2014
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