Individual
DR. SUZANNE C BOULTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 PLEASANT ST., YEAPLE BUILDING, CONCORD, NH 03301-7539
(603) 228-7200
(603) 228-7307
Mailing address
250 PLEASANT ST., YEAPLE BUILDING, CONCORD, NH 03301-7539
(603) 228-7200
(603) 228-7307
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4811
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2553
CIGNA
NH
01
—
3016636
AETNA
NH
05
—
361
—
NH
01
—
371516
MVP HEALTHCARE
NH
01
—
D78744
HARVARD PILGRIM HEALTHCAR
NH
01
—
H005016
TRICARE
NH
Enumeration date
06/16/2005
Last updated
07/08/2007
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