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Contact Information

RYAN BOUTIN, DO
28 CRESCENT STREET
MIDDLESEX HOSPITAL
MIDDLETOWN, CT06457-3650
 Phone: 860-358-5322
 Fax: 860-358-6298
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RYAN BOUTIN · (Male)

NPI # 1699094201
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/21/2010
Last updated 08/07/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 53426
Hospital affiliation(s)
  • MIDDLESEX HOSPITAL - (Acute Care)
    28 CRESCENT ST
    MIDDLETOWN, CT 06457
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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