Individual
ADAM RYAN-LEWIS BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(860) 377-4177
Mailing address
23 HUNTINGTOWN RD, NEWTOWN, CT 06470-2626
(860) 377-4177
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7352
CT
Other
Enumeration date
10/30/2017
Last updated
11/16/2019
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