Individual
DR. ANNE MARIE BOUSTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 200-5180
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 200-5180
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
53909
CT
2085R0202X
Diagnostic Radiology Physician
53909
CT
Other
Enumeration date
02/04/2010
Last updated
03/10/2016
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