NPI 1699094201 · live from the CMS NPI Registry
Ryan Boutin, DO
Hospitalist in Middletown, CT. National Provider Identifier 1699094201, active.
NPI record
| NPI | 1699094201 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Hospitalist 208M00000X |
| Practice location | 28 Crescent Street, Middlesex Hospital, Middletown, CT 06457 |
| Practice phone | 860-358-5322 |
| Mailing address | 28 Crescent St, Middlesex Hospital, Middletown, CT 06457 |
| Enumerated | May 21, 2010 |
| Last updated | August 7, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Adult Medicine | 207QA0505X | 53426 (CT) |
| Hospitalist primary | 208M00000X | 53426 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.