Provider Demographics
NPI:1972575801
Name:TUROK, IGOR GENE (MD)
Entity Type:Individual
Prefix:DR
First Name:IGOR
Middle Name:GENE
Last Name:TUROK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 MASONIC AVE
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-3095
Mailing Address - Country:US
Mailing Address - Phone:203-626-9080
Mailing Address - Fax:203-626-9074
Practice Address - Street 1:67 MASONIC AVE
Practice Address - Street 2:SUITE 2400
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-3095
Practice Address - Country:US
Practice Address - Phone:203-626-9080
Practice Address - Fax:203-626-9074
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-03
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2378892084N0400X
CT045712208VP0014X, 2084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD100012841Medicare PIN