Individual
DR. MAROUANE R. BOUCHAREB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036.119871
IL
2085R0202X
Diagnostic Radiology Physician
Primary
55393
GA
2085R0204X
Vascular & Interventional Radiology Physician
036119871
IL
Other
Enumeration date
01/10/2008
Last updated
01/12/2015
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