David J Park in White River Junction - Family Medicine
David J Park - NPI 1790780211
David J Park is a Family Medicine in White River Junction, Vermont. David J Park practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for David J Park is 1790780211. The last update date is 2021-03-29.
David J Park's current location address is 331 Olcott Dr, White River Junction, Vermont. You can contact this provider via phone number 8022956132 and fax number 8022951358. The mailing address for David J Park is 331 Olcott Dr, White River Junction, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David J Park |
|---|---|
| Address | 331 Olcott Dr, White River Junction, Vermont |
| Phone Number | 8022956132 |
| Fax Number | 8022951358 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790780211 |
|---|---|
| Provider Enumeration Date | 2005-06-21 |
| Last Updated Date | 2021-03-29 |
Provider Mailing Address Detail
| Address | 331 Olcott Dr |
|---|---|
| City | White River Junction |
| State | Vermont (VT) |
| Post Code | 500196010 |
| Phone Number | 8022956132 |
| Fax Number | 8022951358 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 042-0010755 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1010649 | VT | -- | |
| 8000079 | VT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David J Park by the Centers for Medicare & Medicaid Services?
The David J Park has been assigned the NPI (National Provider Identifier) 1790780211. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where David J Park is physically located?
The David J Park is physically situated at the following address: 331 Olcott Dr, White River Junction, VT, 500196010.
What is David J Park's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for David J Park is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790780211 to David J Park?
The Centers for Medicare & Medicaid Services originally issued the 1790780211 to David J Park on 2005-06-21.
As of what date were the David J Park's details last updated?
The information pertaining to the David J Park, including its address, specialty, and other details, was most recently updated on 2021-03-29.