Susan Diane Boulware, MD
NPI #1124001946 in New Haven, Connecticut
Provider Information
- NPI Number
- 1124001946
- Entity Type
- Individual
- Name
- Susan Diane Boulware, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics - Pediatric Endocrinology
- Credential
- MD
- Enumeration Date
- Nov 25, 2005
- Last Updated
- Aug 4, 2008
Practice Location
- Address
- 2 CHURCH ST S
- Address 2
- SUITE 511
- City
- New Haven
- State
- Connecticut
- ZIP Code
- 06519-1717
- Phone
- (203) 764-9199
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Pediatric Endocrinology — Pediatric Endocrinology |
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