Individual
MIHAELA BORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 735-7421
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 735-7421
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
044408
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044408
CT MEDICAL LICENSE
CT
01
—
23187
MEDICAL LICENSE
AL
Enumeration date
07/29/2005
Last updated
03/07/2023
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