DR. ELISE J CONNELL-BOUDOYA


Address: 102 Moody St, Bristol, CT 06010-4440
Phone: 8605858935

DR. ELISE J CONNELL-BOUDOYA (NPI# 1497927313) 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) 1497927313
Entity Type Individual
Full Name DR. ELISE J CONNELL-BOUDOYA
Credential M.D.
Practice Address 102 Moody St
Bristol
CT 06010-4440
Practice Telephone 8605858935
Mailing Telephone 8605858935
Enumeration Date 2008-04-01
Last Update Date 2008-07-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
044507 CT Allopathic & Osteopathic Physicians

Office Location

Street Address 102 MOODY ST
City BRISTOL
State CT
Zip Code 06010-4440

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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
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447576905 Jeffrey Kaye Radiology 985 Farmington Ave, Bristol, CT 06010-3973 2010-04-08
1588723886 Bristol County Open Mri Services Inc. Radiology 1182 Hope Street, Bristol, RI 02809 2006-12-06
1841377629 Bristol County Open Mri Radiology 1182 Hope St, Bristol, RI 02809-1126 2006-11-01
1093817611 Henry Austin Carr Radiology 1009 Tween Hill Forest Trl, Bristol, TN 37620-5849 2006-09-03
1346267127 Carlos Manuel Badiola Radiology 25 Collins Road, Bristol, CT 06010 2006-07-16
1396706024 Jonathan V. Mai Radiology 1 Medical Pk. Blvd., Bristol, TN 37620 2006-03-31
1831161470 Bristol Imaging PC Radiology 225 Hemphill Rd Bristol Imaging PC, Bristol, NH 03222-0513 2006-02-07
1760468904 Allen A. Currier Jr. Radiology 25 Collins Rd, Bristol, CT 06010-3893 2005-12-20
1881687689 Blue Ridge Radiology, P.C. Radiology 3053 W State St, Bristol, TN 37620-1720 2005-08-26
1568466225 Richard Helzner Radiology 501 Bath Rd, Bristol, PA 19007-3101 2005-06-10
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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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