NPI 1366947061

Elisse Park, MD

Practitioner Ophthalmology Physician Fairfield, CT

Practice location

Address: 2371 Black Rock Turnpike, Fairfield, CT 06825
Phone: (203) 371-0141

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 70012 (CT)

Other Ophthalmology providers in Connecticut →

Registry record

NPI: 1366947061
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2018
Record last updated: 12 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.