Dr. Charles Allen Boucher
Internist Internist - Cardiovascular Disease
8 Hawthorne Pl Suite 110
Boston
, Massachusetts 02114-2335
Dr. Charles Allen Boucher
Internist Internist - Cardiovascular Disease
8 Hawthorne Pl Suite 110
Boston
, Massachusetts 02114-2335
(617) 726-9839
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About
Features
Specialties
- Internist
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Charles Allen Boucher
- 8 Hawthorne Pl Suite 110
- Boston, MA
- Zip : 02114-2335
- Fax : (617) 726-9839
- Phone : (617) 726-8511
Second Address
- Dr. Charles Allen Boucher
- 8 Hawthorne Pl Suite 110
- Boston, MA
- Zip : 02114-2335
- Fax : (617) 726-9839
- Phone : (617) 726-8511
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Is Dr. Charles Allen Boucher a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 36588 | MA |
| N | 111NI0900X | Internist | 36588 | MA |
| Y | 207RC0000X | Internist - Cardiovascular Disease | 36588 | MA |
National Provider Identifier
| NPI | 1013986801 |
|---|---|
| Provider Name | Dr. Charles Allen Boucher |
| First Address | Boston, MA 02114-2335 |
| Second Address | Boston, MA 02114-2335 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/03/2006 |
| Last Update Date | 05/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2064227 | (05) | MA |
| 705823 | TUFTS HEALTH PLAN (01) | MA |
| A67358 | (02) | |
| M09801 | BCBS MA (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.