Active NPIIndividual providerSole proprietor

Dr. Jonathan Borak, MD

Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine in New Haven, Connecticut

NPI Number1053747691
Practice location
234 Church St, New Haven, CT 06510-1804
Fax
203-777-1411
Last updated
September 15, 2013

Jonathan Borak is a Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine based in New Haven, CT. Jonathan Borak practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Jonathan Borak is 1053747691 and holds a License No. 19428 (CT). The current practice location address for Jonathan Borak is 234 Church St, New Haven, CT 06510-1804 and can be reached out via phone at 203-777-6611 and via fax at 203-777-1411.

Provider Profile Details

NPI Number
1053747691
Provider Name
Jonathan Borak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
234 Church St, New Haven, CT 06510-1804
Phone Number
203-777-6611
Fax Number
203-777-1411
Sole Proprietor
Yes
Provider Enumeration Date
September 15, 2013
Last Update Date
September 15, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
234 Church St
New Haven, CT 06510-1804
Zip
06510-1804
Phone Number
203-777-6611
Fax Number
203-777-1411
New Haven, CT 06510Get directions →

Provider Business Mailing Address Details

Address
234 Church St
New Haven, CT 06510-1804
City
New Haven
State
CT
Zip
06510-1804
Phone Number
203-777-6611
Fax Number
203-777-1411

License Information

License Number
19428
License State
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jonathan Borak, MD?

The NPI number of Dr. Jonathan Borak, MD is 1053747691. It was assigned on September 15, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Jonathan Borak, MD?

Dr. Jonathan Borak, MD is registered under the primary taxonomy Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (code 2083P0500X), licensed in CT under license number 19428.

Where does Dr. Jonathan Borak, MD practice?

The practice location is 234 Church St, New Haven, CT 06510-1804. The office can be reached at 203-777-6611 (phone) or 203-777-1411 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053747691 directly on the NPPES registry website.

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