Individual
DR. SCOTT A. BODEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 647-4738
Mailing address
77 FOXCROFT RD, WEST HARTFORD, CT 06119-1060
(860) 232-0246
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
034160
CT
Other
Enumeration date
03/07/2006
Last updated
07/09/2007
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