Individual
TARA C. BOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
725 ALBANY ST, SHAPIRO 9 B AND C, BOSTON, MA 02118-3549
(617) 414-4290
Mailing address
801 ALBANY ST FL GROUND, BOSTON, MA 02119-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
253126
MA
207RI0200X
Infectious Disease Physician
Primary
LP03374
RI
Other
Enumeration date
06/07/2012
Last updated
11/26/2019
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