Dr Sandra P Boltax-stern, MD is a
Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family based in Woodbridge, Connecticut. Dr Sandra P Boltax-stern is licensed to practice in Connecticut (license number CT11608) and her current practice location is
78 Ansonia Rd, Woodbridge, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 387-3403.
NPI number for Dr Sandra P Boltax-stern is 1184656951 and her current mailing address is 78 Ansonia Rd, Woodbridge, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184656951.
Provider's Profile
| Full Name | Dr Sandra P Boltax-stern |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family |
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| Location | 78 Ansonia Rd, Woodbridge, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184656951
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 10/26/2011
Medical Identifiers
Medical identifiers for Dr Sandra P Boltax-stern such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184656951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | CT11608 (Connecticut) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | CT11608 (Connecticut) | Secondary |
| 364SP0810X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family | CT11608 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sandra P Boltax-stern is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Sandra P Boltax-stern, MD
78 Ansonia Rd,
Woodbridge, CT 06525-2502
Ph: (203) 387-3403 | Dr Sandra P Boltax-stern, MD
78 Ansonia Rd,
Woodbridge, CT 06525-2502
Ph: (203) 387-3403 |
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