National Provider Identifier Database

SAMUEL T BOSTON, MD – NPI #1891130241
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

SAMUEL T BOSTON, MD
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN46845-1707
Phone: 260-425-6100
Fax: 260-425-6105
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X

* Indicates primary specialty

NPI Profile & details for SAMUEL T BOSTON

NPI Number 1891130241
Credentials MD
Entity Individual
Enumeration date 04/29/2013
Last updated 03/23/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • AR License #: E-12203
  • IN License #: 01088906A
  • OK License #: 29983
Hospital affiliation n/a

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.

Reviews for SAMUEL T BOSTON, MD

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