Active NPIIndividual provider

Dr. Sandra P Boltax-Stern, MD

Clinical Nurse Specialist, Psych/Mental Health, Child & Family in Woodbridge, Connecticut

NPI Number1184656951
Practice location
78 Ansonia RD, Woodbridge, CT 06525-2502
Fax
—
Last updated
October 26, 2011

Sandra P Boltax-Stern is a Clinical Nurse Specialist, Psych/Mental Health, Child & Family based in Woodbridge, CT. Sandra P Boltax-Stern practices in Woodbridge, CT and has the professional credentials of MD. The NPI Number for Sandra P Boltax-Stern is 1184656951 and holds a License No. CT11608 (CT). The current practice location address for Sandra P Boltax-Stern is 78 Ansonia RD, Woodbridge, CT 06525-2502 and can be reached out via phone at 203-387-3403.

Provider Profile Details

NPI Number
1184656951
Provider Name
Sandra P Boltax-Stern
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
78 Ansonia RD, Woodbridge, CT 06525-2502
Phone Number
203-387-3403
Sole Proprietor
No
Provider Enumeration Date
July 6, 2006
Last Update Date
October 26, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
78 Ansonia RD
Woodbridge, CT 06525-2502
Zip
06525-2502
Phone Number
203-387-3403
Woodbridge, CT 06525Get directions →

Provider Business Mailing Address Details

Address
78 Ansonia RD
Woodbridge, CT 06525-2502
City
Woodbridge
State
CT
Zip
06525-2502
Phone Number
203-387-3403
Fax Number
203-387-9125

License Information

License Number (1)
CT11608
License State (1)
CT
License Number (2)
CT11608
License State (2)
CT
License Number (3)
CT11608
License State (3)
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Sandra P Boltax-Stern, MD?

The NPI number of Dr. Sandra P Boltax-Stern, MD is 1184656951. It was assigned on July 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Sandra P Boltax-Stern, MD?

Dr. Sandra P Boltax-Stern, MD is registered under the primary taxonomy Clinical Nurse Specialist, Psych/Mental Health, Child & Family (code 364SP0810X), licensed in CT under license number CT11608.

Where does Dr. Sandra P Boltax-Stern, MD practice?

The practice location is 78 Ansonia RD, Woodbridge, CT 06525-2502. The office can be reached at 203-387-3403 (phone).

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 1184656951 directly on the NPPES registry website.

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