James Stephen Borges, MD
Individual provider Active NPI Specialist · Greenwich, CT
NPI 1073506705 · NPPES record last updated Nov 30, 2007
Key facts
- NPI
- 1073506705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 017144 (CT)
- Practice address
- 49 Lake Ave
Greenwich, CT 06830-4501 - Phone
- (203) 661-2934
- Fax
- (203) 869-7693
- NPI assigned
- Aug 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017144 | CT | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 017144 | CT | Yes |
Addresses
Primary practice location
49 Lake Ave
Greenwich, CT 06830-4501
Mailing address
49 Lake Ave
Greenwich, CT 06830-4501
Phone (203) 661-2934
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017144-CT01 | Other | CT | ANTHEM |
Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.