Individual
MR. ANDRE P BOULOGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
167 COREY ROAD, BRIGHTON, MA 02135
(617) 731-5000
(617) 731-3945
Mailing address
167 COREY ROAD, BRIGHTON, MA 02135
(617) 731-5000
(617) 731-3945
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1878
MA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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