Individual provider · Type 1 NPI

Betsey Park, PA-C

Medical Physician Assistant · New Haven, CT

NPI number 1114903101 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (203) 789-3388 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X000336 (CT)
Medical Physician Assistant Primary 363AM0700X336 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1114903101

Betsey Park, PA-C's National Provider Identifier is 1114903101, issued on Dec 21, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Nov 3, 2017.