Provider Demographics
NPI:1033295134
Name:SHEYNBERG, BORIS V (MD)
Entity Type:Individual
Prefix:DR
First Name:BORIS
Middle Name:V
Last Name:SHEYNBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:40 OLD ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:CT
Mailing Address - Zip Code:06883-1309
Mailing Address - Country:US
Mailing Address - Phone:203-226-9440
Mailing Address - Fax:203-226-7508
Practice Address - Street 1:32 IMPERIAL AVE
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4328
Practice Address - Country:US
Practice Address - Phone:203-226-1760
Practice Address - Fax:203-221-8291
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT034412207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Not Answered207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology