Susan Diane Boulware in New Haven - Pediatric Endocrinology
Susan Diane Boulware - NPI 1124001946
Susan Diane Boulware is a Pediatric Endocrinology in New Haven, Connecticut. Susan Diane Boulware practices all healthcare services and medical treatments related to Pediatric Endocrinology. The NPI Number for Susan Diane Boulware is 1124001946. The last update date is 2008-08-04.
Susan Diane Boulware's current location address is 2 Church St S, New Haven, Connecticut. You can contact this provider via phone number 2037649199 and fax number 2037649149. The mailing address for Susan Diane Boulware is 2 Church St S, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Diane Boulware |
|---|---|
| Address | 2 Church St S, New Haven, Connecticut |
| Phone Number | 2037649199 |
| Fax Number | 2037649149 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124001946 |
|---|---|
| Provider Enumeration Date | 2005-11-25 |
| Last Updated Date | 2008-08-04 |
Provider Mailing Address Detail
| Address | 2 Church St S |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65191717 |
| Phone Number | 2037649199 |
| Fax Number | 2037649149 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Endocrinology |
|---|---|
| Taxonomy | 2080P0205X |
| Licence No | 28443 |
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Definition: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1284439 | CT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Diane Boulware by the Centers for Medicare & Medicaid Services?
The Susan Diane Boulware has been assigned the NPI (National Provider Identifier) 1124001946. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Susan Diane Boulware's facilities are geographically located?
The facilities of Susan Diane Boulware are physically situated at the following location: 2 Church St S, New Haven, CT, 65191717.
What is the Susan Diane Boulware's area of specialization and corresponding taxonomy classification?
The Susan Diane Boulware's specialty field is Pediatric Endocrinology, and it falls under the taxonomy code 2080P0205X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124001946 to Susan Diane Boulware?
The Centers for Medicare & Medicaid Services originally issued the 1124001946 to Susan Diane Boulware on 2005-11-25.
When was the information regarding Susan Diane Boulware most recently updated?
The details pertaining to the Susan Diane Boulware, including its address, specialty, and other relevant information, were last refreshed on 2008-08-04.