Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CORRENE L BOUCHER, MD
ActivePediatrics · MIDDLETOWN, CT
Registration Details
- NPI Number
- 1659382000
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 11, 2006 (19.755617072986 yrs)
- Last Updated
- Jul 8, 2007
- License
-
037979 (CT)
Practice Information
- Address
-
400 SAYBROOK RDSUITE 206MIDDLETOWN, CT, 064574773Browse CT providers · Browse ZIP 06457
- Phone
- 8603440333
- Fax
- 8603449703
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in MIDDLETOWN, CT
| Name | Credential | NPI |
|---|---|---|
| DR. CLIFF O'CALLAHAN | M.D., PH.D. | 1811977663 |
| DR. LISA C ALONSO | MD | 1093725970 |
| DR. DAVID TILLINGHAST | M.D. | 1689685992 |
| DR. DIANE CUE | MD | 1972514990 |
| DR. ALLISON H WHITAKER | M.D. | 1497767776 |
| DR. TINA ROMAN | MD | 1851304869 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.