Individual
DR. PHILIP C BOULANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5911 W BROAD ST, RICHMOND, VA 23230-2219
(804) 213-0259
Mailing address
1891 VIRGINIA AVE, HARRISONBURG, VA 22802-8374
(804) 389-2606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101057867
VA
207R00000X
Internal Medicine Physician
Primary
0101057867
VA
Other
Enumeration date
01/27/2006
Last updated
04/05/2023
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