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Sangmo Park, MD
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1578827580

Sangmo Park is a Student in an Organized Health Care Education/Training Program based in West Hartford, CT. Sangmo Park practices in Farmington, CT and has the professional credentials of MD. The NPI Number for Sangmo Park is 1578827580 and holds a License No. (Connecticut).

The current practice location address for Sangmo Park is 263 Farmington Ave, Farmington, CT and can be reached out via phone at 860-679-3958.

Location: 263 Farmington Ave, Farmington, CT, 06110-2620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578827580
Provider Name
Sangmo Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
263 Farmington Ave, Farmington, CT, 06110-2620
Phone Number
860-679-3958
Fax Number
Provider Enumeration Date
06/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06032-1956
Phone Number
860-679-3958
Fax Number
person
Provider Business Mailing Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06032-1956
Phone Number
860-679-3958
Fax Number
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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