Individual
DR. ELISE J CONNELL-BOUDOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
102 MOODY ST, BRISTOL, CT 06010-4440
(860) 585-8935
Mailing address
102 MOODY ST, BRISTOL, CT 06010-4440
(860) 585-8935
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
044507
CT
Other
Enumeration date
04/01/2008
Last updated
07/30/2008
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