Robert Ballough in Middletown - Medical

Robert Ballough - NPI 1851551972

Robert Ballough is a Medical in Middletown, Connecticut. Robert Ballough practices all healthcare services and medical treatments related to Medical. The NPI Number for Robert Ballough is 1851551972. The last update date is 2013-08-15.

Robert Ballough's current location address is 28 Crescent St, Middletown, Connecticut. You can contact this provider via phone number 8603582750. The mailing address for Robert Ballough is 28 Crescent St, Middletown, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Ballough
Address 28 Crescent St, Middletown, Connecticut
Phone Number 8603582750
Fax Number
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1851551972
Provider Enumeration Date 2008-06-12
Last Updated Date 2013-08-15

Provider Mailing Address Detail

Address 28 Crescent St
City Middletown
State Connecticut (CT)
Post Code 64573654
Phone Number 8603582750
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 2079
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Robert Ballough

What is the unique provider identifier assigned to Robert Ballough?

The Robert Ballough has been issued the NPI (National Provider Identifier) 1851551972 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Robert Ballough is physically located?

The Robert Ballough is situated at the following address: 28 Crescent St, Middletown, CT 64573654.

What is Robert Ballough's specialized field of practice, and what is the corresponding taxonomy classification code?

The Robert Ballough's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1851551972 to Robert Ballough?

The Centers for Medicare & Medicaid Services assigned the 1851551972 to Robert Ballough on 2008-06-12.

When was the information regarding Robert Ballough, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Robert Ballough, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-08-15.

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