Individual
DR. TINA ANNE BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
807 BROAD ST, MERIDEN, CT 06450-4301
(203) 238-3668
(203) 238-3670
Mailing address
807 BROAD ST, MERIDEN, CT 06450-4301
(203) 238-3668
(203) 238-3670
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0000805
CT
Other
Enumeration date
01/03/2006
Last updated
05/26/2016
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