Individual
DR. MARTIN J BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46 BLUEBERRY HL, WOLFEBORO, NH 03894-4526
(603) 569-6323
Mailing address
46 BLUEBERRY HL, WOLFEBORO, NH 03894-4526
(603) 569-6323
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
8070
NH
207R00000X
Internal Medicine Physician
Primary
8070
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107072Y0NH01
ANTHEM
NH
05
—
30002969
—
NH
01
—
3422723
AETNA
NH
01
—
383833
MVP
NH
01
—
9692314
CIGNA
NH
01
—
E68456
HARVARD PILGRIM HLTHCARE
NH
Enumeration date
02/21/2006
Last updated
11/14/2022
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