Individual
DR. HENRY SOO-MIN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
35 PARK ST, SMILOW CANCER HOSPITAL, LL510, NEW HAVEN, CT 06519-1110
(203) 200-2100
(203) 785-4622
Mailing address
35 PARK ST, SMILOW CANCER HOSPITAL, LL510, NEW HAVEN, CT 06519-1110
(203) 200-2100
(203) 785-4622
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
053417
CT
390200000X
Student in an Organized Health Care Education/Training Program
53417
CT
Other
Enumeration date
06/08/2012
Last updated
03/10/2017
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