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Organization
RICHARD P. BOUGHAL, M.D., P.C.
Active
Organization
RICHARD P. BOUGHAL, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PATRICK BOUGHAL M.D. (PRESIDENT)
(631) 261-3243
Entity
Organization
Contact information
Practice address
308 MAIN ST, NORTHPORT, NY 11768-1740
(631) 261-3243
(631) 757-6804
Mailing address
308 MAIN ST, NORTHPORT, NY 11768-1740
(631) 261-3243
(631) 757-6804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
149485
NY
Other
Enumeration date
05/16/2008
Last updated
06/24/2008
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