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Individual

PAUL BOUCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19 BRAMBLE BUSH DR, FALMOUTH, MA 02540-2325
(508) 540-7555
Mailing address
19 BRAMBLE BUSH DR, FALMOUTH, MA 02540-2325
(508) 548-8989
(908) 548-5789

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
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