Susan D Boulware, MD
Pediatrics, Pediatric Endocrinology in New Haven, Connecticut
1124001946- Practice location
- 2 Church St S, Suite 511, New Haven, CT 06519-1717
- Phone
- 203-764-9199
- Fax
- 203-764-9149
- Last updated
- August 4, 2008
Susan Diane Boulware is a Pediatrics, Pediatric Endocrinology based in New Haven, CT. Susan Diane Boulware practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Susan Diane Boulware is 1124001946 and holds a License No. 028443 (CT). The current practice location address for Susan Diane Boulware is 2 Church St S, Suite 511, New Haven, CT 06519-1717 and can be reached out via phone at 203-764-9199 and via fax at 203-764-9149.
Provider Profile Details
- NPI Number
- 1124001946
- Provider Name
- Susan Diane Boulware
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2 Church St S, Suite 511, New Haven, CT 06519-1717
- Phone Number
- 203-764-9199
- Fax Number
- 203-764-9149
- Primary Taxonomy
- Pediatrics, Pediatric Endocrinology · 2080P0205X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 25, 2005
- Last Update Date
- August 4, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Church St S
Suite 511
New Haven, CT 06519-1717 - City
- New Haven
- State
- Connecticut
- Zip
- 06519-1717
- Phone Number
- 203-764-9199
- Fax Number
- 203-764-9149
Provider Business Mailing Address Details
- Address
- 300 George St
6TH Floor
New Haven, CT 06536-0805 - City
- New Haven
- State
- CT
- Zip
- 06536-0805
License Information
- License Number
- 028443
- License State
- CT
- Taxonomy
- Pediatrics, Pediatric Endocrinology · 2080P0205X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics, Pediatric Endocrinology providers near New Haven, CT
View all Pediatrics, Pediatric Endocrinology providers in New Haven →- Catherine A Dinauer, MDPediatrics, Pediatric Endocrinology · NPI 1336112309
- Dr. Amy P Darukhanavala, MDPediatrics, Pediatric Endocrinology · NPI 1760632285
- Dr. Laurie R Braun, MDPediatrics, Pediatric Endocrinology · NPI 1710205489
- Eda Cengiz, MDPediatrics, Pediatric Endocrinology · NPI 1851581045
- Karena L Swan, MDPediatrics, Pediatric Endocrinology · NPI 1841496676
- Kelly Joseph, MDPediatrics, Pediatric Endocrinology · NPI 1578975488
Frequently Asked Questions
What is the NPI number of Susan D Boulware, MD?
The NPI number of Susan D Boulware, MD is 1124001946. It was assigned on November 25, 2005 and is currently active in the NPPES registry.
What is the specialty of Susan D Boulware, MD?
Susan D Boulware, MD is registered under the primary taxonomy Pediatrics, Pediatric Endocrinology (code 2080P0205X), licensed in CT under license number 028443.
Where does Susan D Boulware, MD practice?
The practice location is 2 Church St S, Suite 511, New Haven, CT 06519-1717. The office can be reached at 203-764-9199 (phone) or 203-764-9149 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124001946 directly on the NPPES registry website.