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Individual

ADAM R BOISSONNEAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(908) 310-5369
Mailing address
39 FERRY LN, BRANFORD, CT 06405-5050

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
88695
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/02/2015
Last updated
07/29/2021
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