Individual
DR. CHAD P BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1220 NEW SCOTLAND RD STE 201, SLINGERLANDS, NY 12159-9386
(518) 533-6550
Mailing address
1220 NEW SCOTLAND RD STE 201, SLINGERLANDS, NY 12159-9386
(518) 533-6550
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
DO2180
ME
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
293837
NY
Other
Enumeration date
07/09/2009
Last updated
05/01/2020
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