Individual
DR. AMY RUTH BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
046574
CT
207LP3000X
Pediatric Anesthesiology Physician
046574
CT
Other
Enumeration date
01/31/2009
Last updated
06/11/2013
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