Individual
DR. OVANES HALASAN BORGONOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 WASHINGTON SQ, NEW BRITAIN, CT 06051-1848
(860) 224-3642
(860) 224-2760
Mailing address
1 WASHINGTON SQ, NEW BRITAIN, CT 06051-1848
(860) 224-3642
(860) 224-2760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
044410
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
Enumeration date
10/14/2006
Last updated
08/03/2011
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