Individual provider · Type 1 NPI

Samuel Thomas Boston, MD

Pediatric Gastroenterology Physician · Fort Wayne, IN

NPI number 1891130241 Active

Practice location

11123 Parkview Plaza Dr Ste 200
Fort Wayne, IN 46845-1707

Fax (260) 425-6105

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Pediatric Gastroenterology Physician 2080P0206X29983 (OK)
Pediatric Gastroenterology Physician 2080P0206XE-12203 (AR)
Pediatric Gastroenterology Physician Primary 2080P0206X01088906A (IN)

Pediatric Gastroenterology Physician: A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

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About NPI 1891130241

Samuel Thomas Boston, MD's National Provider Identifier is 1891130241, issued on Apr 29, 2013. The primary taxonomy on file is Pediatric Gastroenterology Physician (2080P0206X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 23, 2023.