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Individual
DR. GENE LOUIS BOUCHER
Active
Individual
DR. GENE LOUIS BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC005511
NJ
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37-1499484
QUALCARE
NJ
01
—
5489614
AETNA HMO/PPO
NJ
Enumeration date
01/25/2006
Last updated
04/03/2020
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