Individual provider · Type 1 NPI

Susan Diane Boulware, MD

Pediatric Endocrinology Physician · New Haven, CT

NPI number 1124001946 Active

Practice location

2 Church St S, Suite 511
New Haven, CT 06519-1717

Call (203) 764-9199 Map

Fax (203) 764-9149

Mailing address

300 George St, 6th Floor
New Haven, CT 06536-0805

Specialties and licenses

TaxonomyCodeLicense
Pediatric Endocrinology Physician Primary 2080P0205X028443 (CT)

Pediatric Endocrinology Physician: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

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About NPI 1124001946

Susan Diane Boulware, MD's National Provider Identifier is 1124001946, issued on Nov 25, 2005. The primary taxonomy on file is Pediatric Endocrinology Physician (2080P0205X), and the practice location is in New Haven, CT. The record was last updated on Aug 4, 2008.