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Contact Information

TRISTEN S PARK, MD
20 YORK ST
NEW HAVEN, CT06510-3220
 Phone: 203-200-2328
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TRISTEN S PARK · (Female)

NPI # 1295062081
Status Active
Credentials MD
Entity Individual
Enumeration date 11/16/2009
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 56912
  • DC License # MD037894
  • NC License # 2016-00307
Hospital affiliation(s)
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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