Elise J Connell-Boudoya in Bristol - Diagnostic Radiology
Elise J Connell-Boudoya - NPI 1497927313
Elise J Connell-Boudoya is a Diagnostic Radiology in Bristol, Connecticut. Elise J Connell-Boudoya practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Elise J Connell-Boudoya is 1497927313. The last update date is 2008-07-30.
Elise J Connell-Boudoya's current location address is 102 Moody St, Bristol, Connecticut. You can contact this provider via phone number 8605858935. The mailing address for Elise J Connell-Boudoya is 102 Moody St, Bristol, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elise J Connell-Boudoya |
|---|---|
| Address | 102 Moody St, Bristol, Connecticut |
| Phone Number | 8605858935 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1497927313 |
|---|---|
| Provider Enumeration Date | 2008-04-01 |
| Last Updated Date | 2008-07-30 |
Provider Mailing Address Detail
| Address | 102 Moody St |
|---|---|
| City | Bristol |
| State | Connecticut (CT) |
| Post Code | 60104440 |
| Phone Number | 8605858935 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 44507 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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What is the Elise J Connell-Boudoya's 1497927313?
The Elise J Connell-Boudoya's NPI (National Provider Identifier) Number is 1497927313. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Elise J Connell-Boudoya's physical address?
The Elise J Connell-Boudoya is physically located at 102 Moody St, in the city of Bristol, CT, with the postal code 60104440.
What is Elise J Connell-Boudoya's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Elise J Connell-Boudoya is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.
When was the Elise J Connell-Boudoya's 1497927313 issued?
The Elise J Connell-Boudoya's 1497927313 was issued on 2008-04-01.
As of what date were the Elise J Connell-Boudoya's details last updated?
The information pertaining to the Elise J Connell-Boudoya, including its address, specialty, and other details, was most recently updated on 2008-07-30.
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