Individual
DR. CORRENE L BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 SAYBROOK RD, SUITE 206, MIDDLETOWN, CT 06457-4773
(860) 344-0333
(860) 344-9703
Mailing address
4 FARM SPRINGS RD, PROHEALTH PHYSICIANS, FARMINGTON, CT 06032-2573
(860) 284-5200
(860) 284-5333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
037979
CT
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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