Individual
BRIAN R. BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 REECEVILLE ROAD, SUITE A, COATESVILLE, PA 19320
(610) 269-9448
(610) 594-2625
Mailing address
412 CREAMERY WAY, SUITE 400, EXTON, PA 19341-2500
(610) 594-7590
(610) 594-2625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD070346L
PA
Other
Enumeration date
01/25/2006
Last updated
10/05/2020
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