NPI 1962640722 · live from the CMS NPI Registry
Amy Ruth Bouchard, DO
Anesthesiology in Hartford, CT. National Provider Identifier 1962640722, active.
NPI record
| NPI | 1962640722 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 80 Seymour Street, Hartford, CT 06106 |
| Practice phone | 860-545-2117 |
| Mailing address | 99 East River Dr, 5th Floor, East Hartford, CT 06108 |
| Enumerated | January 31, 2009 |
| Last updated | June 11, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology, Pediatric Anesthesiology | 207LP3000X | 046574 (CT) |
| Anesthesiology primary | 207L00000X | 046574 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.