Individual
DR. WINSTON BALOT MAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706
(203) 709-6053
(203) 709-3156
Mailing address
56 FRANKLIN ST FL 4, WATERBURY, CT 06706-1253
(203) 709-3155
(203) 709-3156
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
031482
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001314822
—
CT
Enumeration date
08/09/2006
Last updated
02/05/2016
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