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Individual
DR. JOSEPH TODD BOUDREAU
Active
Individual
DR. JOSEPH TODD BOUDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00657100
NJ
111N00000X
Chiropractor
CH 7984
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111509WL9
RENERING PROVIDER NUMBER
NJ
Enumeration date
12/28/2006
Last updated
10/08/2007
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