NPI 1649775883 · live from the CMS NPI Registry
Jordan Borgman
Family Medicine in Hartford, CT. National Provider Identifier 1649775883, active.
NPI record
| NPI | 1649775883 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 99 Woodland St, Hartford, CT 06105 |
| Practice phone | 860-714-7527 |
| Mailing address | 44 Fuller Rd, Pleasant Valley, CT 06063 |
| Enumerated | March 29, 2018 |
| Last updated | October 8, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Family Medicine primary | 207Q00000X | 068066 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.