Abraham K Carboo, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Waterbury, CT
NPI 1225889397 · NPPES record last updated Mar 28, 2024
Key facts
- NPI
- 1225889397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- Chase Outpatient Center
160 Robbins Street
Waterbury, CT 06708 - Phone
- (203) 573-6162
- Fax
- (203) 573-7031
- NPI assigned
- Mar 28, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240718000313 | CT | Order and Referring Only - Internal Medicine |
1951847656 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
Chase Outpatient Center
160 Robbins Street
Waterbury, CT 06708
Mailing address
Waterbury Hospital
64 Robbins Street
Waterbury, CT 06708
Phone (203) 573-6162
Other providers in Waterbury, CT
- Jessica Cappuccetti
- Sorimar Caquias
- Christine Mae Caramante
- Kevin Carballo
- Sandra Carbonari
- Shika Card
- Krystal Cardenas
- Cardiology Associates of Greater Waterbury LLC
- Cardiology Associates of Waterbury, PC
- Care Beyond Medicine PLLC
All providers in Waterbury, CT · Student in an Organized Health Care Education/Training Program in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.