Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 051811 | CT |
N | 208600000X | Surgeon | 051811 | CT |
Y | 2086S0102X | Surgical Critical Care | 051811 | CT |
NPI | 1134416530 |
---|---|
Provider Name | Dr. Noubar Movses Kevorkian |
First Address | New Britain, CT 06052-2016 |
Second Address | New Britain, CT 06052-2016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2011 |
Last Update Date | 21/02/2015 |