Individual
DAVID JOHN BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 MOUNT CARMEL AVE, HAMDEN, CT 06518-1961
(203) 582-8200
Mailing address
275 MOUNT CARMEL AVE, HAMDEN, CT 06518-1908
(914) 584-5038
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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