Boruchov, Donna M

Boruchov, Donna M is an individual health care provider with primary practice located at 282 Washington St Suite 5A - Center For Cancer & Blood Disorders, Hartford CT 06106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Boruchov, Donna M can be contacted via phone (860) 545-9630.

Contact Information

Primary practice address
282 Washington St Suite 5A - Center For Cancer & Blood Disorders Hartford CT 06106
Phone: (860) 545-9630
Fax: (860) 545-9622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 212098 New York
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 046727 Connecticut

Profile Details

NPI number 1477644805
LBN Legal business name Boruchov, Donna M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Apr 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477644805 NPPES
New York MEDICAID 02581708

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