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Contact Information

ZINAIDA BOUTAEVA, MD
6232 AVALON DR W
ORANGE, CT06477-3679
 Phone: 203-908-3138
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ZINAIDA BOUTAEVA · (Female)

NPI # 1154583748
Status Active
Credentials MD
Entity Individual
Enumeration date 06/25/2008
Last updated 06/25/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 046350
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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