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Jason Park, MD
Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut
NPI 1063153534

Jason Park is a Student in an Organized Health Care Education/Training Program based in Waterbury, CT. Jason Park practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Jason Park is 1063153534 and holds a License No. (Connecticut).

The current practice location address for Jason Park is 160 Robbins St, Waterbury, CT and can be reached out via phone at 213-219-8559 and via fax at 203-573-7031.

Location: 160 Robbins St, Waterbury, CT, 06708-2600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063153534
Provider Name
Jason Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
160 Robbins St, Waterbury, CT, 06708-2600
Phone Number
213-219-8559
Fax Number
203-573-7031
Provider Enumeration Date
04/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
160 Robbins St
City
Waterbury
State
Connecticut
Zip
06708-2652
Phone Number
213-219-8559
Fax Number
203-573-7031
person
Provider Business Mailing Address Details
Address
160 Robbins St
City
Waterbury
State
Connecticut
Zip
06708-2652
Phone Number
213-219-8559
Fax Number
203-573-7031
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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