DR. SANDRA P BOLTAX-STERN MD
NPI 1184656951
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Family in Woodbridge, CT
Active since July 06, 2006
About Dr. Sandra P Boltax-stern Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SANDRA P BOLTAX-STERN MD (NPI 1184656951) is an individual psychiatric/mental health, child & family provider in Woodbridge, Connecticut, licensed in Connecticut (CT11608) and active in the NPI registry since July 2006.
NPPES Registry Identity
NPI1184656951
Entity TypeIndividualFemale
Primary Taxonomy364SP0810X
Provider Legal NameDR. SANDRA P BOLTAX-STERNCredential: MD
Location Address78 ANSONIA RDWoodbridge, CT 06525-2502
Mailing Address78 Ansonia RdWoodbridge, CT 06525-2502 · (203) 387-3403 · Fax (203) 387-9125
Phone(203) 387-3403
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateOctober 26, 2011
✔ NPI 1184656951 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, Child & FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0810X
License✔ Licensed in CT · CT11608
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, Child & AdolescentTaxonomy 364SP0807X · License CT11608 (CT)
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X · License CT11608 (CT)
78 ANSONIA RD, Woodbridge, CT 06525
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184656951, enumerated as an "individual" on July 06, 2006.
The provider is located at 78 ANSONIA RD WOODBRIDGE, CT 06525 and the phone number is (203) 387-3403.
Clinical Nurse Specialist with taxonomy code 364SP0810X and a focus in Psychiatric/Mental Health, Child & Family.
