Adam M Boruchov MD

NPI 1851362883 - Internal Medicine - 207R00000X

NPI Details
NPI 1851362883
Gender Male
Enumeration Date 01/28/2006
Last Updated 04/22/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
114 WOODLAND ST
CANCER CENTER
HARTFORD CT, 06105-1208, US
Phone (860) 714-5554
Fax
Business Location
1000 ASYLUM AVE
SUITE 2109A
HARTFORD CT, 06105-1770, US
Phone (860) 714-6581
Fax (860) 714-8311
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 212002
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According to our database, Adam M Boruchov MD NPI is 1851362883, taxonomy code is 207R00000X and license number is 212002, license state is located at New York. Adam M Boruchov MD physically located at 114 Woodland St, Hartford CT, 06105-1208. NPI Number Adam M Boruchov MD has the Individual type.

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1851362883 NPI number is provided on an as is basis without warranty of any kind. 1851362883 is maintained by the National Plan & Provider Enumeration System. The contents of Adam M Boruchov MD are for informational purposes only.