Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Theodor Borgovan, MD

Individual provider Hematology & Oncology Physician · NPI 1619397676

Dr. Theodor Borgovan, MD is a Hematology/Oncology in Providence, Rhode Island. Qualified in 2013, 13 years ago. Practices with Lifespan Physician Group of Massachusetts Inc, a 457-clinician group and works from 4 locations. Licensed in Massachusetts and Rhode Island.

Years since qualifying
13
Licensed in
MA, RI
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-5435
Fax: (401) 444-8301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 70 Walnut St Ste 100, Foxboro, MA 02035-5312 — (508) 698-3266
  • 91 Washington St Unit 203, Taunton, MA 02780-7404 — (508) 828-7549
  • 164 Summit Ave, Providence, RI 02906-2853 — (401) 793-2920

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence MD16010 (RI)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 1025966 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD16010 (RI)

Record details

NPI number1619397676
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2014
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address15 La Salle Sq, Providence, RI 02903-1814

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Lifespan Physician Group Of Massachusetts Inc — 457 clinicians
Accepts Medicare assignment Not indicated

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