Individual
PATRICK A COUCHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 MELNEA CASS BLVD, BOSTON, MA 02119
(617) 414-2080
Mailing address
801 ALBANY STREET, FL GROUND, BOSTON, MA 02119-3791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
292315
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2019
Last updated
07/29/2022
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