Individual
JESSE M. BOILLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL CRITICAL CARE MEDICINE, HARTFORD, CT 06102-5037
(860) 545-5200
Mailing address
P.O. BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002734
CT
363A00000X
Physician Assistant
1100498
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003027349
—
CT
Enumeration date
12/12/2011
Last updated
11/20/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us