Peter Boudo (NPI# 1255396743, PAC ID# 8820368566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1255396743 |
| PAC ID by PECOS | 8820368566 |
| Professional Enrollment ID | I20170727003581 |
| Full Name | Peter Boudo |
| Organization Legal Name | ANB-PTSMA HOLDINGS, INC. |
| Address |
46 Prince St New Haven CT 06519-1600 |
| Phone Number | 2037527878 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4789572926 |
| Number of Group Practice Members | 85 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6 Business Park Dr, Branford, CT 06405-2988 | 2034837979 | ANB-PTSMA HOLDINGS, INC. |
| 6 Business Park Dr, Suite 201, Branford, CT 06405-2988 | 2034837979 | ANB-PTSMA HOLDINGS, INC. |
| 46 Prince St, New Haven, CT 06519-1600 | 2037527878 | ANB-PTSMA HOLDINGS, INC. |
| 46 Prince St, Suite 402b, New Haven, CT 06519-1600 | 2037527878 | ANB-PTSMA HOLDINGS, INC. |
| Organization Legal Name | ANB-PTSMA HOLDINGS, INC. |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Soderquist | Physical Therapy | Anb-ptsma Holdings, Inc. | 44 Dale Rd, Avon, CT 06001-4315 |
| Michael Lynch | Physical Therapy | Anb-ptsma Holdings, Inc. | 1183 New Haven Rd, Naugatuck, CT 06770-5033 |
| Kenneth Kosior | Physical Therapy | Anb-ptsma Holdings, Inc. | 97 Barnes Rd, Wallingford, CT 06492-1885 |
| Jamie Pare | Physical Therapy | Anb-ptsma Holdings, Inc. | 44 Dale Rd, Avon, CT 06001-4315 |
| Amy Platt | Physical Therapy | Anb-ptsma Holdings, Inc. | 385 Church St, Guilford, CT 06437-6003 |
| Alexandra Filer | Physical Therapy | Anb-ptsma Holdings, Inc. | 18 S Ctr St, Southington, CT 06489-3121 |
| Brady Dolan | Physical Therapy | Anb-ptsma Holdings, Inc. | 385 Church St, Guilford, CT 06437-6003 |
| Sean P Riley | Physical Therapy | Anb-ptsma Holdings, Inc. | 97 Barnes Rd, Wallingford, CT 06492-1885 |
| Steven Berry | Physical Therapy | Anb-ptsma Holdings, Inc. | 385 Church St, Guilford, CT 06437-6003 |
| Corey Voisine | Physical Therapy | Anb-ptsma Holdings, Inc. | 97 Barnes Rd, Wallingford, CT 06492-1885 |
| Street Address |
46 PRINCE ST |
| City | NEW HAVEN |
| State | CT |
| Zip | 06519-1600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fuad Makkouk | Ophthalmology | Connecticut Retina Consultants LLC | 46 Prince St, Suite 203, New Haven, CT 06519-1600 |
| Vincent Quarato | Chiropractic | Quality Life Health Care LLC | 46 Prince St, Suite 201, New Haven, CT 06519-1600 |
| Sheldon D Malett | Psychologist, Clinical | 46 Prince St, Suite 2002, Rochester, NY 14607-1023 | |
| Mary L Clark | Physical Therapy | Anb-ptsma Holdings Inc | 46 Prince St, Suite 402b, New Haven, CT 06519-1600 |
| Robert M Mclean | Internal Medicine | Northeast Medical Group Inc | 46 Prince St, Suite 302, New Haven, CT 06519-1600 |
| Brooke Uliano | Physical Therapy | Anb-ptsma Holdings Inc | 46 Prince St, Suite 402b, New Haven, CT 06519-1600 |
| Gregory Vornovitskiy | Internal Medicine | Northeast Medical Group Inc | 46 Prince St, Suite 302, New Haven, CT 06519-1600 |
| Nancy E Miller-rivero | Ophthalmology | Connecticut Retina Consultants LLC | 46 Prince St, Suite 203, New Haven, CT 06519-1600 |
| Anthony A Lavorgna | Chiropractic | Quality Life Health Care LLC | 46 Prince St, Suite 201, New Haven, CT 06519-1600 |
| Sonia D Hegde | Endocrinology | Northeast Medical Group Inc | 46 Prince St, Suite 302, New Haven, CT 06519-1600 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Mecca | Geriatric Psychiatry | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| Robert A. Wiznia | Ophthalmology | 850 Howard Ave, New Haven, CT 06519-1106 | |
| Alessandra M Capobianco | Geriatric Medicine | Northeast Medical Group Inc | 874 Howard Ave, New Haven, CT 06519-1106 |
| Jennifer Andreozzi Ouellet | Geriatric Medicine | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| James Lai | Internal Medicine | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| Christopher H. Vandyck | Psychiatry | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| Gregory Ouellet | Geriatric Medicine | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| Michelle A Cox | Nurse Practitioner | Northeast Medical Group Inc | 874 Howard Ave, New Haven, CT 06519-1106 |
| Thao T Nguyen | Nurse Practitioner | Northeast Medical Group Inc | 874 Howard Ave, New Haven, CT 06519-1106 |
| Brienne Miner | Geriatric Medicine | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| Find all physicians in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | NEW HAVEN + PHYSICAL THERAPY |
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| 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.