HILDA M BOATENG


Address: 41 Brewster Rd, Bristol, CT 06010-5161
Phone: 8605853333

HILDA M BOATENG (NPI# 1578087375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578087375
Entity Type Individual
Full Name HILDA M BOATENG
Credential PA-C
Practice Address 41 Brewster Rd
Bristol
CT 06010-5161
Practice Telephone 8605853333
Practice Fax Number 8605848498
Mailing Telephone 8605853333
Mailing Fax Number 8605848498
Enumeration Date 2017-08-02
Last Update Date 2018-03-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
MA059185 PA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
4068 CT Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
301 S 7th Ave Ste 3220, West Reading, PA 196111493 (610) 376-8671 6103766387

Office Location

Street Address 41 BREWSTER RD
City BRISTOL
State CT
Zip Code 06010-5161

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922004977 Kara A Lynch Physician Assistant 41 Brewster Rd, Bristol, CT 06010-5161 2005-06-23
1881294486 Gretchen Holloway Nurse Practitioner 41 Brewster Rd, Bristol, CT 06010-5141 2020-11-01
1275133969 Bristol Health Pharmacy, LLC Pharmacy 41 Brewster Rd, Bristol, CT 06010-5161 2020-10-30
1992311195 Davina Dube Family Medicine 41 Brewster Rd, Bristol, CT 06010-5141 2020-09-22
1215549142 Danielle Sarah Desmarais Physician Assistant 41 Brewster Rd, Bristol, CT 06010-5161 2020-08-21
1770192726 Elina Tannenbaum Registered Nurse 41 Brewster Rd, Bristol, CT 06010-5161 2020-07-27
1093331670 Kendra Jade Mcgregor Physician Assistant 41 Brewster Rd, Bristol, CT 06010-5141 2020-06-19
1043832066 Michael Owen Richards Internal Medicine 41 Brewster Rd, Bristol, CT 06010-5161 2020-05-13
1093354953 Erica Stolarz Physician Assistant 41 Brewster Rd, Bristol, CT 06010-5141 2019-12-24
1336703511 Rachel Driscoll Dietitian, Registered 41 Brewster Rd, Bristol, CT 06010-5161 2019-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457991309 A New Hope Caregiving Alliance LLC Home Health 225 North Main Street - Suite 107, Bristol, CT 06010 2020-01-08
1154981777 Georgianna Sloate Lmft, LLC Marriage & Family Therapist 38 Kelley Street, Bristol, CT 06010 2019-06-17
1962062810 Ariel Morley Urology 15 Riverside Avenue, Bristol, CT 06010 2019-06-13
1013439488 Theresa Rose Manolitsis Student in an Organized Health Care Education/Training Program 170 Pondview Lane, Bristol, CT 06010 2017-07-07
1588103600 Elizabeth Anne Costello Pharmacist 747 Pine Street, Bristol, CT 06010 2017-02-22
1992157903 Aiman Riaz Internal Medicine 41 Brewster Rd # 5161, Bristol, CT 06010 2016-07-01
1346609955 Monika Magdalena Sullivan Nurse Practitioner 122 Maple Street, Bristol, CT 06010 2016-02-11
1346660776 Peter Bellezza Podiatrist 15 Riverside Ave, Bristol, CT 06010 2014-04-24
1487088001 Stephen Alexander Merwin Social Worker 32 Laird Drive, Bristol, CT 06010 2013-08-30
1215369574 In Kyung Lee Dentist 1192 Farmington Ave., Bristol, CT 06010 2013-08-08
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497033252 Amanda Jean Lutz Physician Assistant 335 Radcliffe St, Bristol, PA 19007-5015 2011-07-28
1780846428 Damon Troy Bartley Physician Assistant One Medical Park Blvd, Suite 458w, Bristol, TN 37620 2008-06-25
1215549142 Danielle Sarah Desmarais Physician Assistant 41 Brewster Rd, Bristol, CT 06010-5161 2020-08-21
1093354953 Erica Stolarz Physician Assistant 41 Brewster Rd, Bristol, CT 06010-5141 2019-12-24
1992348254 Bethanie Patton Physician Assistant 1 Medical Park Blvd Ste 458w, Bristol, TN 37620-7456 2019-10-18
1144773524 Christopher M Haniford Physician Assistant 41 Brewster Rd, Bristol, CT 06010-5161 2016-08-02
1912385980 Alison Joyce Physician Assistant 41 Brewster Rd, Bristol, CT 06010-5161 2015-05-11
1265824379 Joseph Ambrogio Physician Assistant 41 Brewster Rd, Bristol, CT 06010-5161 2015-02-26
1104228022 Christopher Tagliavini Physician Assistant 22 Pine St, Bristol, CT 06010-6948 2014-09-23
1265831093 Dena A. Skowronski Physician Assistant 41 Brewster Rd, Bristol, CT 06010-5161 2014-08-18
Find all providers in BRISTOL

Competitor

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City BRISTOL
Zip Code 06010

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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