IndividualActive
Zinaida Boutaeva, M.D.
NPI 1154583748 · Addiction Psychiatry Physician · Orange, CT
Provider details
- NPI number
- 1154583748
- Entity type
- Individual
- Primary specialty
- Addiction Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 046350 (CT)
Mailing address
6232 Avalon Dr W
Orange, CT 06477-3679
Registry dates
- Enumerated
- 2008-06-25
- Last updated
- 2008-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.