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

Susan Diane Boulware, MD

Individual provider Pediatric Endocrinology Physician · NPI 1124001946

Susan Diane Boulware, MD is a Pediatric Endocrinology Physician in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2005.

Licensed in
CT
In the registry since
2005
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

2 Church St S Ste 511
New Haven, CT 06519-1717
Phone: (203) 764-9199
Fax: (203) 764-9149
Show map & directions

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

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X · Licence 028443 (CT)

Record details

NPI number1124001946
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 25, 2005
Last updated in NPPESAugust 4, 2008

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