person
Mr. Robert Ballough, PA
Medical Physician Assistant in Middletown, Connecticut
NPI 1851551972

Robert Ballough is a Medical Physician Assistant based in Wallingford, CT and is specialized in Medical. Robert Ballough practices in Middletown, CT and has the professional credentials of PA. The NPI Number for Robert Ballough is 1851551972 and holds a License No. 002079 (Connecticut).

The current practice location address for Robert Ballough is 28 Crescent St, Middletown, CT and can be reached out via phone at 860-358-2750. You can also correspond with Robert Ballough through the mailing address at 145 RIDGEWOOD RD, WALLINGFORD, CT - 06492-2100 (mailing address contact number: 203-793-7588).

Location: 28 Crescent St, Middletown, CT, 06492-2100
person
Provider Profile Details
NPI Number
1851551972
Provider Name
Robert Ballough
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
28 Crescent St, Middletown, CT, 06492-2100
Phone Number
860-358-2750
Fax Number
Provider Enumeration Date
06/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
28 Crescent St
City
State
Zip
06457-3654
Phone Number
860-358-2750
Fax Number
person
Provider Business Mailing Address Details
Address
28 Crescent St
City
State
Zip
06457-3654
Phone Number
860-358-2750
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
002079 (Connecticut)
Definition
Definition to come...
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