Active NPIIndividual provider

Dr. Enrique Ballesteros, MD

Pathology, Anatomic Pathology & Clinical Pathology in Farmington, Connecticut

NPI Number1972594497
Practice location
263 Farmington Ave, Farmington, CT 06030-3985
Fax
860-679-4334
Last updated
November 7, 2022

Enrique Ballesteros is a Pathology, Anatomic Pathology & Clinical Pathology based in Farmington, CT. Enrique Ballesteros practices in Farmington, CT and has the professional credentials of MD. The NPI Number for Enrique Ballesteros is 1972594497 and holds a License No. 039969 (CT). The current practice location address for Enrique Ballesteros is 263 Farmington Ave, Farmington, CT 06030-3985 and can be reached out via phone at 860-679-2980 and via fax at 860-679-4334.

Provider Profile Details

NPI Number
1972594497
Provider Name
Enrique Ballesteros
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
263 Farmington Ave, Farmington, CT 06030-3985
Phone Number
860-679-2980
Fax Number
860-679-4334
Sole Proprietor
No
Other Names
Henry Ballesteros, MD (Former Name)
Provider Enumeration Date
November 3, 2005
Last Update Date
November 7, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
263 Farmington Ave
Farmington, CT 06030-3985
Zip
06030-3985
Phone Number
860-679-2980
Fax Number
860-679-4334
Farmington, CT 06030Get directions →

Provider Business Mailing Address Details

Address
263 Farmington Ave
Provider Enrollment
Farmington, CT 06030-2212
City
Farmington
State
CT
Zip
06030-2212
Phone Number
860-679-7503
Fax Number
860-679-1610

License Information

License Number
039969
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. Enrique Ballesteros, MD?

The NPI number of Dr. Enrique Ballesteros, MD is 1972594497. It was assigned on November 3, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Enrique Ballesteros, MD?

Dr. Enrique Ballesteros, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in CT under license number 039969.

Where does Dr. Enrique Ballesteros, MD practice?

The practice location is 263 Farmington Ave, Farmington, CT 06030-3985. The office can be reached at 860-679-2980 (phone) or 860-679-4334 (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 1972594497 directly on the NPPES registry website.

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