Individual
JORDAN BORGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 WOODLAND ST, HARTFORD, CT 06105-1207
(860) 714-7527
Mailing address
44 FULLER RD, PLEASANT VALLEY, CT 06063-4001
(860) 806-2819
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
068066
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
10/08/2024
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