David S Boisoneau (NPI# 1467429597, PAC ID# 7012031222) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1467429597 |
| PAC ID by PECOS | 7012031222 |
| Professional Enrollment ID | I20100831000339 |
| Full Name | David S Boisoneau |
| Organization Legal Name | EAR,NOSE AND THROAT ASSOCIATES OF SOUTHEASTERN CONNECTICUT, P.C. |
| Address |
14 Masons Island Rd 2b Mystic CT 06355-2958 |
| Phone Number | 8605363078 |
| Gender | M |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3678607470 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070007 | LAWRENCE & MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 14 Masons Island Rd, 2b, Mystic, CT 06355-2958 | 8605363078 | EAR,NOSE AND THROAT ASSOCIATES OF SOUTHEASTERN CONNECTICUT, P.C. |
| 201 Boston Post Rd, Waterford, CT 06385-2805 | 8604420407 | EAR,NOSE AND THROAT ASSOCIATES OF SOUTHEASTERN CONNECTICUT, P.C. |
| Organization Legal Name | EAR,NOSE AND THROAT ASSOCIATES OF SOUTHEASTERN CONNECTICUT, P.C. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Lord Vincent | Otolaryngology | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 201 Boston Post Rd, Waterford, CT 06385-2805 |
| Frank R Dellacono | Otolaryngology | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 365 Montauk Ave, New London, CT 06320-4700 |
| Raymond A Gaito Jr. | Otolaryngology | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 365 Montauk Ave, New London, CT 06320-4700 |
| F. Gervan Mlynarski | Otolaryngology | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 365 Montauk Ave, New London, CT 06320-4700 |
| Russell Otto | Physician Assistant | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 201 Boston Post Rd, Waterford, CT 06385-2805 |
| Bethany B Kelly | Qualified Audiologist | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 201 Boston Post Rd, Waterford, CT 06385-2805 |
| Christine H Kendall | Qualified Audiologist | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 14 Masons Island Rd, 2b, Mystic, CT 06355-2958 |
| Nancy J Trostler | Qualified Audiologist | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 14 Masons Island Rd, 2b, Mystic, CT 06355-2958 |
| Street Address |
14 MASONS ISLAND RD 2B |
| City | MYSTIC |
| State | CT |
| Zip | 06355-2958 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine H Kendall | Qualified Audiologist | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 14 Masons Island Rd, 2b, Mystic, CT 06355-2958 |
| Linda Suriyakham | Psychologist, Clinical | 14 Masons Island Rd, Unit 4c, Mystic, CT 06355-2958 | |
| Nancy J Trostler | Qualified Audiologist | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 14 Masons Island Rd, 2b, Mystic, CT 06355-2958 |
| Linda Doran | Clinical Nurse Specialist | 14 Masons Island Rd, Suite 14, Mystic, CT 06355-2958 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann Marie Kupis | Physical Therapy | Independence Physical Therapy, LLC | 2440 Gold Star Hwy 201, Mystic, CT 06355-1180 |
| Caitlin E Hyde | Physical Therapy | Independence Physical Therapy, LLC | 2440 Gold Star Hwy 201, Mystic, CT 06355-1180 |
| Katieanne Christian | Physical Therapy | Independence Physical Therapy, LLC | 2440 Gold Star Hwy 201, Mystic, CT 06355-1180 |
| Emily G Polakowski | Physical Therapy | Independence Physical Therapy, LLC | 2440 Gold Star Hwy 201, Mystic, CT 06355-1180 |
| Christine M Bauch | Physical Therapy | Independence Physical Therapy, LLC | 2440 Gold Star Hwy 201, Mystic, CT 06355-1180 |
| Nicole A Zebrowski | Physical Therapy | Independence Physical Therapy, LLC | 2440 Gold Star Hwy 201, Mystic, CT 06355-1180 |
| Liana M Sved | Physical Therapy | Independence Physical Therapy, LLC | 2440 Gold Star Hwy 201, Mystic, CT 06355-1180 |
| Jeanne M Gilbert | Physical Therapy | Independence Physical Therapy, LLC | 2440 Gold Star Hwy 201, Mystic, CT 06355-1180 |
| Robert Gilbert | Physical Therapy | Independence Physical Therapy, LLC | 2440 Gold Star Hwy 201, Mystic, CT 06355-1180 |
| Melissa L Paul | Physical Therapy | Independence Physical Therapy, LLC | 2440 Gold Star Hwy 201, Mystic, CT 06355-1180 |
| Find all physicians in zip 06355 | |||
| City | MYSTIC |
| Zip Code | 06355 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | MYSTIC + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on David S Boisoneau.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.