Individual
DR. SY ON PARK-DINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
101 BOSTON AVE, BRIDGEPORT, CT 06610-1648
(203) 333-2020
Mailing address
101 BOSTON AVE, BRIDGEPORT, CT 06610-1648
(203) 333-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02851
CT
152W00000X
Optometrist
TUV0077621
NY
Other
Enumeration date
09/27/2011
Last updated
10/23/2012
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