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

Bora Park, DO

Individual provider Family Medicine Physician · NPI 1609515030

Bora Park, DO is a Family Practice in Guilford, Connecticut. Qualified in 2022, 4 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
4
Licensed in
CT
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

652 Boston Post Rd
Guilford, CT 06437-2719
Phone: (203) 453-0677
Fax: (203) 458-7015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 80082 (CT)

Record details

NPI number1609515030
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 2, 2022
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address652 Boston Post Rd, Guilford, CT 06437-2719

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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