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

Robert Ballough is a Medical Physician Assistant based in Wallingford, CT and is specialized in Medical. Robert Ballough practices in East Hartford, 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 94 Connecticut Blvd, East Hartford, CT and can be reached out via phone at 860-528-1359.

Location: 94 Connecticut Blvd, East Hartford, CT, 06492-3251
person
Provider Profile Details
NPI Number
1851551972
Provider Name
Robert Ballough
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
94 Connecticut Blvd, East Hartford, CT, 06492-3251
Phone Number
860-528-1359
Fax Number
Provider Enumeration Date
06/12/2008
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
94 Connecticut Blvd
City
State
Zip
06108-3013
Phone Number
860-528-1359
Fax Number
person
Provider Business Mailing Address Details
Address
94 Connecticut Blvd
City
State
Zip
06108-3013
Phone Number
860-528-1359
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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