Dr. Hyoungsup Park, MD, PHD
Dr. Hyoungsup Park, MD, PHD is a Family Medicine Physician in Farmington, Connecticut. Licensed in Connecticut, Louisiana and Massachusetts. Registered with an NPI since 2005.
- Licensed in
- CT, LA, MA
- In the registry since
- 2005
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
599 Famington AveFarmington, CT 06032
Phone: (608) 284-4945
Fax: (860) 284-4946
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 043254 (CT) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 223132 (MA) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 200492 (LA) |
Record details
| NPI number | 1174512735 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD , PHD |
| Sole proprietor | No |
| NPI enumerated | October 17, 2005 |
| Last updated in NPPES | March 31, 2022 |
| Certification date | March 22, 2022 |
| Mailing address | 599 Famington Ave, Farmington, CT 06032 |
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Jamie Christine Shawver, DO
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