Brandon Ballane

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Hartford, CT

NPI 1619662376 · NPPES record last updated Jun 30, 2024

Key facts

NPI
1619662376
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
80 Seymour St
Hartford, CT 06102-8000
Phone
(860) 545-5000
NPI assigned
Apr 10, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

80 Seymour St
Hartford, CT 06102-8000

Mailing address

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-5000

Other providers in Hartford, CT

All providers in Hartford, CT · Student in an Organized Health Care Education/Training Program in Connecticut

Sources for this page

Verify at the official NPI Registry.