| 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 |
|---|---|
| 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: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7403 Fax: 203-732-7177 | |
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: Medicare Enrolled 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 | |
Dr. Jeanne Kuslis, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7403 Fax: 203-732-7177 |