Park, Elisse
Park, Elisse is an individual health care provider with primary practice located at 2371 Black Rock Turnpike , Fairfield CT 06825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Park, Elisse can be contacted via phone (203) 371-0141.Contact Information
Primary practice address
2371 Black Rock Turnpike
Fairfield CT 06825
Phone: (203) 371-0141
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 70012 | Connecticut |
Profile Details
| NPI number | 1366947061 |
|---|---|
| LBN Legal business name | Park, Elisse |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2018 |
| Last updated | Sep 12th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Driesman, Shelley K
2371 Black Rock Tpke , Fairfield CT 06825 -
Rabinowitz, Stephen Mark
2371 Black Rock Turnpike , Fairfield CT 06825 -
Sarracino, Joanna Lumba
2371 Black Rock Tpke , Fairfield CT 06825-3229 -
Gorovoy, Ian
2371 Black Rock Tpke , Fairfield CT 06825-3229 -
Wesson, Matthew
3353 N Gloster St , Tupelo MS 38804-9735 -
Habib, Larissa Ann
1817 Black Rock Tpke Ste 204 , Fairfield CT 06825-3546 -
Oberman, Jeffrey L
1 Sasco Hill Rd # 202 , Fairfield CT 06824-5670 -
Bullwinkel, George A
22 Barrister Ln , Fairfield CT 06824-7824