Individual
DR. HYOUNGSUP PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
599 FAMINGTON AVE, FARMINGTON, CT 06032
(608) 284-4945
(860) 284-4946
Mailing address
599 FAMINGTON AVE, FARMINGTON, CT 06032
(608) 284-4945
(860) 284-4946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043254
CT
207Q00000X
Family Medicine Physician
200492
LA
207Q00000X
Family Medicine Physician
223132
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008004410
—
CT
Enumeration date
10/17/2005
Last updated
03/31/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us