Individual
JOSEPH PETER BOUVIER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
275 BICENTENNIAL HWY STE 101, SPRINGFIELD, MA 01118-1965
(413) 783-3100
(413) 782-7998
Mailing address
275 BICENTENNIAL HWY STE 101, SPRINGFIELD, MA 01118-1965
(413) 783-3100
(413) 782-7998
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
226532
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110042142
—
MA
01
—
1134436
AETNA
MA
01
—
128529
FALLON
MA
01
—
226532
CONNECTICARE
MA
01
—
AA347095
HARVARD PILGRIM HEALTH CARE
MA
01
—
J29677
BLUE CROSS BLUE SHIELD
MA
01
—
MA3541
EYEMED
MA
01
—
MB6436
BMC HEALTHNET
MA
01
—
TUFTS
494426
MA
Enumeration date
08/05/2006
Last updated
10/05/2022
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