Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN DIANE BOULWARE, MD
ActiveSUSAN DIANE BOULWARE, MD is a Pediatric Endocrinology healthcare provider located in NEW HAVEN, Connecticut. NPI 1124001946 is currently active in the NPPES registry. Verify at CMS.
Pediatric Endocrinology · NEW HAVEN, CT
Registration Details
- NPI Number
- 1124001946
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 25, 2005 (20.728446195983 yrs)
- Last Updated
- Aug 4, 2008
- License
-
028443 (CT)
Practice Information
- Address
-
2 CHURCH ST SSUITE 511NEW HAVEN, CT, 065191717Browse CT providers · Browse ZIP 06519
- Phone
- 2037649199
- Fax
- 2037649149
- Primary Specialty
-
Pediatric Endocrinology
2080P0205X
Other Pediatric Endocrinology Providers in NEW HAVEN, CT
| Name | Credential | NPI |
|---|---|---|
| WILLIAM V TAMBORLANE JR. | MD | 1124001342 |
| MINA LEE KIM | MD | 1558344770 |
| MYRON GENEL | MD | 1720061948 |
| SONIA CAPRIO | MD | 1972586196 |
| THOMAS O CARPENTER | MD | 1730162553 |
| STUART WEINZIMER | MD | 1588648448 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.