Charles A Boucher Md Pc

LBN: Charles A Boucher Md Pc
Charles A Boucher Md Pc is an health care organization with primary practice located at 8 Hawthorne Pl Suite 110, Boston MA 02114-2335. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Charles A Boucher Md Pc can be contacted via phone (617) 726-8511, or through Boucher, Charles Allen via phone (617) 726-8511.

Contact Information

Primary practice address
8 Hawthorne Pl Suite 110 Boston MA 02114-2335
Phone: (617) 726-8511
Fax: (617) 742-8446
Website:
Map and Directions
Authorized official contact:
Name: Boucher, Charles Allen Doctor of Medicine (MD)
Phone: (617) 726-8511

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36588 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 36588 Massachusetts

Profile Details

NPI number 1679771646
LBN Legal business name Charles A Boucher Md Pc
DBA Doing business as
Authorized official Boucher, Charles Allen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2007
Last updated Jul 10th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679771646 NPPES
Massachusetts Other 705823 TUFTS HEALTH PLAN
Massachusetts MEDICAID 9738193 TUFTS HEALTH PLAN
Massachusetts Other M13371 TUFTS HEALTH PLAN

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