Dr. William A Boller III, MD
Emergency Medicine in Groton, Connecticut
1972730380- Practice location
- 1 Wahoo Ave, Groton, CT 06349-2324
- Phone
- 860-694-2377
- Fax
- 860-694-2590
- Last updated
- April 25, 2024
William A Boller is an Emergency Medicine based in Groton, CT. William A Boller practices in Groton, CT and has the professional credentials of MD. The NPI Number for William A Boller is 1972730380 and holds a License No. 0101250100 (VA). The current practice location address for William A Boller is 1 Wahoo Ave, Groton, CT 06349-2324 and can be reached out via phone at 860-694-2377 and via fax at 860-694-2590.
Provider Profile Details
- NPI Number
- 1972730380
- Provider Name
- William A Boller
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Wahoo Ave, Groton, CT 06349-2324
- Phone Number
- 860-694-2377
- Fax Number
- 860-694-2590
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 12, 2009
- Last Update Date
- April 25, 2024
- Certification Date
- April 25, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Wahoo Ave
Groton, CT 06349-2324 - City
- Groton
- State
- Connecticut
- Zip
- 06349-2324
- Phone Number
- 860-694-2377
- Fax Number
- 860-694-2590
Provider Business Mailing Address Details
- Address
- 1 Wahoo Ave
Groton, CT 06349-2324 - City
- Groton
- State
- CT
- Zip
- 06349-2324
- Phone Number
- 860-694-2377
- Fax Number
- 860-694-2590
License Information
- License Number (1)
- 0101250100
- License State (1)
- VA
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- MD24366
- License State (2)
- ME
- Taxonomy (2)
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. William A Boller III, MD?
The NPI number of Dr. William A Boller III, MD is 1972730380. It was assigned on June 12, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. William A Boller III, MD?
Dr. William A Boller III, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in VA under license number 0101250100.
Where does Dr. William A Boller III, MD practice?
The practice location is 1 Wahoo Ave, Groton, CT 06349-2324. The office can be reached at 860-694-2377 (phone) or 860-694-2590 (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 1972730380 directly on the NPPES registry website.