Dr Gregory Boris, DO | |
130 Division St, Derby, CT 06418-1326 | |
(203) 732-7403 | |
(203) 732-7177 |
Full Name | Dr Gregory Boris |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 130 Division St, Derby, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558386292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 040900 (Connecticut) | Primary |
Entity Name | Emergency Physicians Of Connecticut Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902278906 PECOS PAC ID: 8820390214 Enrollment ID: O20151231000158 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory Boris, DO 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-7403 | Dr Gregory Boris, DO 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-7403 |
Dr. Sybil Cheng, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7403 Fax: 203-732-7177 | |
Dr. Indrani Datta, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7403 | |
Dr. Stephen Michael Kelly, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-735-7421 | |
Russell Scott Holliday, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7403 | |
Laura Butler, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-735-7421 | |
Shane Leslie Leighton, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-735-7421 |