Individual
RYAN BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
28 CRESCENT STREET, MIDDLESEX HOSPITAL, MIDDLETOWN, CT 06457-3650
(860) 358-5322
(860) 358-6298
Mailing address
28 CRESCENT ST, MIDDLESEX HOSPITAL, MIDDLETOWN, CT 06457-3654
(860) 358-5322
(860) 358-6298
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
53426
CT
208M00000X
Hospitalist Physician
Primary
53426
CT
Other
Enumeration date
05/21/2010
Last updated
08/07/2014
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