Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES PARK, P.A.
ActiveMedical Physician Assistant · NEW HAVEN, CT
Registration Details
- NPI Number
- 1215928072
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2005 (20.466545030538 yrs)
- Last Updated
- Dec 8, 2014
- License
-
000001 (CT)
Practice Information
- Address
-
150 SARGENT DRSUITE 1NEW HAVEN, CT, 065116100Browse CT providers · Browse ZIP 06511
- Phone
- 2037814444
- Fax
- 2037898341
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in NEW HAVEN, CT
| Name | Credential | NPI |
|---|---|---|
| DERMOT M MCDERMOTT | PA-C | 1457352437 |
| HEIDI W NOLAN | PA-C | 1578564597 |
| MICHAEL C. DRURY | PA-C | 1689655300 |
| MRS. MEGHAN LYNN QUINTANILLA | PA-C | 1265413561 |
| MICHAEL SCHULTZ | PA | 1396727533 |
| BETSEY PARK | PA-C | 1114903101 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.