Individual provider · Type 1 NPI

Robert Ballough, P.A.

Medical Physician Assistant · East Hartford, CT

NPI number 1851551972 Active

Practice location

94 Connecticut Blvd
East Hartford, CT 06108-3013

Call (860) 528-1359 Map

Mailing address

4 Farm Ct
Wallingford, CT 06492-3251

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X002079 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1851551972

Robert Ballough, P.A.'s National Provider Identifier is 1851551972, issued on Jun 12, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in East Hartford, CT. The record was last updated on Apr 30, 2024.