Doctor profile · Federal record
Dr. Baly Seo Park
Student in an Organized Health Care Education/Training Program · Farmington, CT
- NPI 1790403137
- 4 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
263 Farmington Ave
Farmington, CT 060300001
(679) 860-2000 - Mailing address
-
10 Talcott Ridge RD Unit G
Farmington, CT 060323513
Credentials & registration
- NPI registered
- August 2022 — 4 yrs on file
- Profile last updated
- September 6, 2022
- Specialty taxonomy
- 390200000X — NUCC code
- State license (1)
- Connecticut #13568
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790403137. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$335
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Philips North America LLC | 3 | $335.32 |
By nature of payment
Frequently asked questions
What is Dr. Baly Seo Park's medical specialty?
Dr. Baly Seo Park practices Student in an Organized Health Care Education/Training Program in Farmington, CT.
Where does Dr. Baly Seo Park practice?
Dr. Baly Seo Park practices at 263 Farmington Ave, Farmington, CT 060300001. Office phone: 6798602000.
What is Dr. Baly Seo Park's NPI?
Dr. Baly Seo Park's National Provider Identifier (NPI) is 1790403137, issued by NPPES.