NPI 1053747691

Jonathan Borak, MD

Practitioner Preventive Medicine/Occupational Environmental Medicine Physician New Haven, CT

Practice location

Address: 234 Church St, New Haven, CT 06510-1804
Phone: (203) 777-6611
Fax: (203) 777-1411

Registered specialties

Preventive Medicine/Occupational Environmental Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0500X Licence 19428 (CT)

Other Preventive Medicine providers in Connecticut →

Registry record

NPI: 1053747691
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Sep 2013
Record last updated: 15 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.