Organization
NICOLE H. BOUDREAU,MD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE HURLEY BOUDREAU M.D. (PRESIDENT)
(617) 232-0440
Entity
Organization
Contact information
Practice address
1180 BEACON ST, SUITE 2C, BROOKLINE, MA 02446-3885
(617) 232-0440
(617) 232-8444
Mailing address
1180 BEACON ST, SUITE 2C, BROOKLINE, MA 02446-3885
(617) 232-0440
(617) 232-8444
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
205483
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108197
—
MA
Enumeration date
04/12/2007
Last updated
12/11/2007
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