NPI 1497927313 · live from the CMS NPI Registry
Elise J Connell-Boudoya, M.D.
Radiology, Diagnostic Radiology in Bristol, CT. National Provider Identifier 1497927313, active.
NPI record
| NPI | 1497927313 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 102 Moody St, Bristol, CT 06010 |
| Practice phone | 860-585-8935 |
| Enumerated | April 1, 2008 |
| Last updated | July 30, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 044507 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.