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1215928072
CHARLES PARK
NEW HAVEN, CT
NPI
1215928072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 000001)
Enumeration Date
2005-11-02
Last Update Date
2014-12-08
Business Address
Mr. CHARLES PARK P.A.
150 SARGENT DR SUITE 1
NEW HAVEN, CT 06511-6100
Phone number: 203-781-4444
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Mailing Address
Mr. CHARLES PARK P.A.
150 SARGENT DR SUITE 1
NEW HAVEN, CT 06511-6100
Phone number: 203-781-4444
Copy
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