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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALEXIS C. BOUTENEFF, M.D.

Active

ALEXIS C. BOUTENEFF, M.D. is a Otolaryngology healthcare provider located in LITCHFIELD, Connecticut. NPI 1316982515 is currently active in the NPPES registry. Verify at CMS.

Otolaryngology · LITCHFIELD, CT

Registration Details

NPI Number
1316982515
Provider Type
Individual
Gender
Male
NPI Issued
Jun 19, 2006 (20.175365478893 yrs)
Last Updated
Mar 14, 2024
Licenses
64523 (MN)
C158137 (CA)
023370 (CT)

Practice Information

Address
105 BUELL RD
LITCHFIELD, CT, 067593006
Browse CT providers · Browse ZIP 06759
Phone
8605679893
Primary Specialty
Otolaryngology
207Y00000X
Additional Specialty
Otolaryngology
Additional Specialty
Otolaryngology
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.