Ryan Boutin, DO
Hospitalist in Middletown, CT. Individual provider (NPI-1).
NPI number1699094201
StatusActive
Last updated in NPPESAug 7, 2014
Details
- NPI
- 1699094201
- Entity type
- Individual (NPI-1)
- Name
- Ryan Boutin
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2010
- Last updated
- Aug 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 53426 | CT | Yes |
| 207QA0505X | Family Medicine, Adult Medicine | 53426 | CT |
Practice location
28 Crescent StreetMiddlesex Hospital
Middletown, CT 06457-3650
Phone 860-358-5322 · Fax 860-358-6298
Mailing address
28 Crescent StMiddlesex Hospital
Middletown, CT 06457-3654
Phone 860-358-5322 · Fax 860-358-6298
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