Provider Demographics
NPI:1245205871
Name:BORSOS-DEBS, KAREN A (DPM)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:A
Last Name:BORSOS-DEBS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:A
Other - Last Name:BORSOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:990 BRIDGEPORT AVE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3143
Mailing Address - Country:US
Mailing Address - Phone:203-878-2642
Mailing Address - Fax:203-877-0849
Practice Address - Street 1:990 BRIDGEPORT AVE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3143
Practice Address - Country:US
Practice Address - Phone:203-878-2642
Practice Address - Fax:203-877-0849
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000501213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2704235OtherUNITED HEALTHCARE
480029858OtherRAILROAD MEDICARE
ZS948OtherOXFORD
OV5357OtherHEALTHNET
2171086OtherAETNA
2181174OtherCIGNA
030000501CT07OtherATHEM
480029858OtherRAILROAD MEDICARE
U16499Medicare UPIN