Dr. Tristen Sinae Park
Surgeon Surgical Oncologist
20 York St
New Haven
, Connecticut 06510-3220
Dr. Tristen Sinae Park
Surgeon Surgical Oncologist
20 York St
New Haven
, Connecticut 06510-3220
(203) 200-2328
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Dr. Tristen Sinae Park
- 20 York St
- New Haven, CT
- Zip : 06510-3220
- Phone : (203) 200-2328
Second Address
- Dr. Tristen Sinae Park
- 20 York St
- New Haven, CT
- Zip : 06510-3220
- Phone : (203) 200-2328
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 2016-00307 | NC |
| N | 208600000X | Surgeon | 2016-00307 | NC |
| Y | 2086X0206X | Surgical Oncologist | 56912 | CT |
National Provider Identifier
| NPI | 1295062081 |
|---|---|
| Provider Name | Dr. Tristen Sinae Park |
| First Address | New Haven, CT 06510-3220 |
| Second Address | New Haven, CT 06510-3220 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2009 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.