Individual
DAVID ROBERGE BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 955-8893
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H0101945
MD
Other
Enumeration date
03/18/2019
Last updated
06/09/2025
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