ROBERT BALLOUGH

EAST HARTFORD, CT
NPI1851551972
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: CT  002079)
Enumeration Date2008-06-12
Last Update Date2024-04-30
Business Address
MR. ROBERT BALLOUGH P.A.
94 CONNECTICUT BLVD
EAST HARTFORD, CT 06108-3013
Phone number: 860-528-1359
Mailing Address
MR. ROBERT BALLOUGH P.A.
4 FARM CT
WALLINGFORD, CT 06492-3251
Phone number: 203-376-1863
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