Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HYUN JOO PARK, M.D.
Deactivated Sole ProprietorDR. HYUN JOO PARK, M.D. is a Neurological Surgery healthcare provider located in VERNON, Connecticut. NPI 1255021200 is deactivated in the NPPES registry. Verify at CMS.
Neurological Surgery · VERNON, CT
This NPI has been deactivated.
The record was deactivated on December 18, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1255021200
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 12, 2023 (0.60109289617486 yrs)
- Last Updated
- Jan 10, 2025
- Deactivated
- Dec 18, 2023
- Licenses
-
P120306 (NY)79484 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
35 TALCOTTVILLE RD STE 5VERNON, CT, 060665261Browse CT providers · Browse ZIP 06066
- Phone
- 8608706388
- Primary Specialty
-
Neurological Surgery
207T00000X
- Additional Specialty
- Neurological Surgery
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.