Dr. Marie Christine Boucher
Oral and Maxillofacial Surgeon
10 Higgins Highway
Mansfield
, Connecticut 06250
Dr. Marie Christine Boucher
Oral and Maxillofacial Surgeon
10 Higgins Highway
Mansfield
, Connecticut 06250
(203) 937-1940
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Marie Christine Boucher
- 323 Main Street
- West Haven, CT
- Zip : 06516
- Fax : (203) 937-1940
- Phone : (203) 937-7181
Second Address
- Dr. Marie Christine Boucher
- 10 Higgins Highway
- Mansfield, CT
- Zip : 06250
- Fax : (203) 239-5648
- Phone : (860) 423-2587
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 9303 | CT |
National Provider Identifier
| NPI | 1083793210 |
|---|---|
| Provider Name | Dr. Marie Christine Boucher |
| First Address | West Haven, CT 06516 |
| Second Address | Mansfield, CT 06250 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/11/2006 |
| Last Update Date | 20/12/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 008002392 | (05) | CT |
| V07353 | (02) | CT |
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.