Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Baly Juan Seo Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790403137

Baly Juan Seo Park is a Student in an Organized Health Care Education/Training Program in Farmington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2022.

Licensed in
CT
In the registry since
2022

Practice location Address checks out

263 Farmington Ave
Farmington, CT 06030-0001
Phone: (679) 860-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 13568 (CT)

Record details

NPI number1790403137
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 22, 2022
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022

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