Organization
GEORGE BOUCHER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE P. BOUCHER MD (PRESIDENT)
(716) 882-0684
Entity
Organization
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-5540
Mailing address
680 CRESCENT AVE, BUFFALO, NY 14216-3403
(716) 882-0684
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
234234
NY
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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