Individual
GREGOR J KOOBATIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 SAYBROOK RD, SUITE 201, MIDDLETOWN, CT 06457
(860) 347-4620
(860) 346-9687
Mailing address
410 SAYBROOK RD, SUITE 201, MIDDLETOWN, CT 06457
(860) 347-4620
(860) 346-9687
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
038341
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001383413
—
CT
Enumeration date
05/01/2006
Last updated
03/25/2015
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