Individual
MR. DANIEL WILLIAM BOUCOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2201 CHAPEL AVE, .KENNEDY HEALTH SYSTEM, CHERRY HILL, NJ 08002
(856) 829-9345
(856) 829-3605
Mailing address
700 US 130 N SUITE 203, RANCOCAS ANESTHESIOLOGY, P.A., CINNAMINSON, NJ 08077
(856) 829-9345
(856) 829-3605
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NO10306600
NJ
Other
Enumeration date
07/12/2006
Last updated
02/24/2008
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