Susan Diane Boulware, MD is a pediatric endocrinology pediatrics in New Haven, CT. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. Susan Diane Boulware, MD NPI is 1124001946. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2 CHURCH ST S
SUITE 511
NEW HAVEN, CT
ZIP 06519-717
Phone: (203) 764-9199
Fax: (203) 764-9149
The NPI 1124001946 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/25/2005 and was last updated on 8/4/2008.