Robert Ballough, P.A. Valid NPI

Individual provider · Medical Physician Assistant · East Hartford, CT

NPI

1851551972

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

002079 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2008-06-12

Last updated

2024-04-30