Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. William A Boller III, MD

Individual provider Family Medicine Physician · NPI 1972730380

Dr. William A Boller III, MD is a Family Practice in Groton, Connecticut. Qualified in 2009, 17 years ago. Practices with Charles a Dean Memorial Hospital, a 24-clinician group and accepts Medicare assignment. Licensed in Maine and Virginia.

Years since qualifying
17
Licensed in
ME, VA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Wahoo Ave
Groton, CT 06349-2324
Phone: (860) 694-2377
Fax: (860) 694-2590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD24366 (ME)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101250100 (VA)

Record details

NPI number1972730380
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2009
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Charles A Dean Memorial Hospital — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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