| Windsor Park Family Medicine, Llc | |
|
85 Felt Road Suite 501 South Windsor CT 06074 | |
| (860) 228-2750 | |
| (860) 783-5460 |
| Full Name | Windsor Park Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 85 Felt Road, South Windsor, Connecticut |
| Authorized Official Name and Position | Hyoungsup Park (OWNER) |
| Authorized Official Contact | 8602882750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Windsor Park Family Medicine, Llc 85 Felt Road Suite 501 South Windsor CT 06074 Ph: (860) 228-2750 | Windsor Park Family Medicine, Llc 85 Felt Road Suite 501 South Windsor CT 06074 Ph: (860) 228-2750 |
| NPI Number | 1922230200 |
|---|---|
| Provider Enumeration Date | 08/20/2009 |
| Last Update Date | 08/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922230200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 043254 (Connecticut) | Primary |
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