Individual
PAUL BOUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
34318
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2051346
—
MA
01
—
27825
HARVARD PILGRIM
MA
01
—
441341782
RAILROAD MEDICARE
MA
01
—
701164
TUFTS HEALTH
MA
01
—
L07167
BLUE CROSS
—
Enumeration date
04/20/2006
Last updated
02/24/2016
Update your record
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