IndividualActive
Enrique Ballesteros, M.D.
NPI 1972594497 · Anatomic Pathology & Clinical Pathology Physician · Farmington, CT
Provider details
- NPI number
- 1972594497
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 039969 (CT)
Practice location
263 Farmington Ave
Farmington, CT 06030-3985
Phone: (860) 679-2980
Fax: (860) 679-4334
Mailing address
263 Farmington Ave
Farmington, CT 06030-2212
Registry dates
- Enumerated
- 2005-11-03
- Last updated
- 2022-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.