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DR. IMRAN LASHARI BALOUCH MD

Gastroenterology >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1467783290

Individual Registrant:
DR. IMRAN LASHARI BALOUCH MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
145 UNION ST ECHN HEALTH SEVICES VERNON ROCKVILLE, CT 06066-3025 US
Tel: 860-896-0377  Fax: --

Contact information for business:
145 UNION ST  VERNON ROCKVILLE, CT 06066-3025 US
Tel: 860-896-0377  Fax: 860-896-0388

Registration Information:
NPI: 1467783290
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RG0100XAllopathic & Osteopathic Physicians
Internal Medicine
Gastroenterology
CT48248

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CIGNA4996078CT01
AETNA9808521CT01




HEALTH CARE JOBS CT - Page 1



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