Correne L Boucher, MD Valid NPI
Individual provider · Pediatrics Physician · Middletown, CT
- NPI
- 1659382000
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- 037979 (CT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-08-11
- Last updated
- 2007-07-08
Practice location
400 Saybrook Rd, Suite 206
Middletown, CT 06457-4773
(860) 344-0333