David Bruce Bouslough, MD Valid NPI

Individual provider · Emergency Medicine Physician · New London, CT

NPI

1407870330

Type

Individual (Type 1)

Primary specialty

Emergency Medicine Physician (Emergency Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207P00000X

License number

62616 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-26

Last updated

2020-07-28