Individual
STEFANIE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 SHAWS CV STE 206, NEW LONDON, CT 06320-4968
(860) 443-4148
Mailing address
1401 GILPIN AVE, WILMINGTON, DE 19806-3220
(203) 430-1954
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
63005
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2015
Last updated
05/15/2019
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