Provider Demographics
NPI:1952337883
Name:BORKOWSKI, HENRY J (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:J
Last Name:BORKOWSKI
Suffix:
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 1:455 CHASE PKWY
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-3352
Mailing Address - Country:US
Mailing Address - Phone:203-573-1435
Mailing Address - Fax:
Practice Address - Street 1:455 CHASE PKWY
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-3352
Practice Address - Country:US
Practice Address - Phone:203-573-1435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT017679207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT060038828OtherRAILROAD MEDICARE
CT0R0350OtherHEALTH NET OF THE NORTHET
CT4127783OtherAETNA HEALTH PLANS
CT01001769CT01OtherANTHEM BC & BS
CT017679OtherCONNECTICARE
CT1952337883Medicaid
CTP380229OtherOXFORD HEALTH PLANS
CT010017679CT04OtherANTHEM BCBS CT
CT017679-H055OtherCONNECTICARE
CT206678OtherWELLCARE
CT2V2875OtherHEALTHNET/COMMERCIAL
CT874079OtherUSA
CT001176791Medicaid
CT20-76894OtherUHC
CT2974514/4127783OtherAMERICHOICE
CTP2718217OtherOXFORD
CT0101769OtherCIGNA HEALTH PLANS
CT25-40434OtherUNITED HEALTHCARE
CT0101769OtherCIGNA HEALTH PLANS
CT1952337883Medicaid
CT017679OtherCONNECTICARE