| Sandra Boltax-stern, Md, Pc | |
|
78 Ansonia Road Woodbridge CT 06525 | |
| (203) 387-3403 | |
| (203) 387-9125 |
| Full Name | Sandra Boltax-stern, Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 78 Ansonia Road, Woodbridge, Connecticut |
| Authorized Official Name and Position | Sandra P Boltax-stern (PRESIDENT) |
| Authorized Official Contact | 2033873403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Boltax-stern, Md, Pc 78 Ansonia Road Woodbridge CT 06525 Ph: (203) 387-3403 | Sandra Boltax-stern, Md, Pc 78 Ansonia Road Woodbridge CT 06525 Ph: (203) 387-3403 |
| NPI Number | 1972864627 |
|---|---|
| Provider Enumeration Date | 05/30/2012 |
| Last Update Date | 05/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972864627 | NPI | - | NPPES |
| 001116086 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 000011608 (Connecticut) | Primary |
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