Individual
HENRY R BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 NORTH CALVERT STREET, SUITE 400, BALTIMORE, MD 21218
(410) 554-2270
(410) 261-2726
Mailing address
3333 NORTH CALVERT STREET, SUITE 400, BALTIMORE, MD 21218
(410) 554-2270
(410) 261-2726
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0053525
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61401401
BCBS
MD
01
—
903A
CFBCBS OF MD
MD
01
—
J848
CFBCBS DC
DC
Enumeration date
06/21/2006
Last updated
10/22/2008
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