Organization
WINDSOR PARK FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HYOUNGSUP PARK MD (OWNER)
(860) 288-2750
Entity
Organization
Contact information
Practice address
85 FELT ROAD, SUITE 501, SOUTH WINDSOR, CT 06074
(860) 228-2750
(860) 783-5460
Mailing address
85 FELT ROAD, SUITE 501, SOUTH WINDSOR, CT 06074
(860) 228-2750
(860) 783-5460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043254
CT
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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