Active NPIIndividual provider

Bora Park, DO

Family Medicine in Guilford, Connecticut

NPI Number1609515030
Practice location
652 Boston Post RD, Guilford, CT 06437-2719
Fax
203-458-7015
Last updated
September 16, 2025

Bora Park is a Family Medicine based in Guilford, CT. Bora Park practices in Guilford, CT and has the professional credentials of DO. The NPI Number for Bora Park is 1609515030 and holds a License No. 80082 (CT). The current practice location address for Bora Park is 652 Boston Post RD, Guilford, CT 06437-2719 and can be reached out via phone at 203-453-0677 and via fax at 203-458-7015.

Provider Profile Details

NPI Number
1609515030
Provider Name
Bora Park
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
652 Boston Post RD, Guilford, CT 06437-2719
Phone Number
203-453-0677
Fax Number
203-458-7015
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 2, 2022
Last Update Date
September 16, 2025
Certification Date
September 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
652 Boston Post RD
Guilford, CT 06437-2719
Zip
06437-2719
Phone Number
203-453-0677
Fax Number
203-458-7015
Guilford, CT 06437Get directions →

Provider Business Mailing Address Details

Address
652 Boston Post RD
Guilford, CT 06437-2719
City
Guilford
State
CT
Zip
06437-2719
Phone Number
203-453-0677
Fax Number
203-458-7015

License Information

License Number
80082
License State
CT
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bora Park, DO?

The NPI number of Bora Park, DO is 1609515030. It was assigned on June 2, 2022 and is currently active in the NPPES registry.

What is the specialty of Bora Park, DO?

Bora Park, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 80082.

Where does Bora Park, DO practice?

The practice location is 652 Boston Post RD, Guilford, CT 06437-2719. The office can be reached at 203-453-0677 (phone) or 203-458-7015 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609515030 directly on the NPPES registry website.

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