Provider Demographics
NPI:1487628590
Name:BURROWS, WARREN BOOTH II (MD)
Entity type:Individual
Prefix:
First Name:WARREN
Middle Name:BOOTH
Last Name:BURROWS
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 PARKWAY S
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WATERFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06385-1219
Mailing Address - Country:US
Mailing Address - Phone:860-440-0688
Mailing Address - Fax:860-437-0318
Practice Address - Street 1:196 PARKWAY S
Practice Address - Street 2:SUITE 201
Practice Address - City:WATERFORD
Practice Address - State:CT
Practice Address - Zip Code:06385-1219
Practice Address - Country:US
Practice Address - Phone:860-440-0688
Practice Address - Fax:860-437-0318
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT043528207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
4000000114Medicare ID - Type Unspecified
A89820Medicare UPIN