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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLEN MICHAEL BOUCHARD, D.O.

Active

DR. GLEN MICHAEL BOUCHARD, D.O. is a Emergency Medicine healthcare provider located in PALMER, Massachusetts. NPI 1790751667 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · PALMER, MA

Registration Details

NPI Number
1790751667
Provider Type
Individual
Gender
Male
NPI Issued
Feb 28, 2006 (20.277236720663 yrs)
Last Updated
Dec 10, 2015
Licenses
000446 (CT)
78416 (MA)

Practice Information

Address
40 WRIGHT ST
PALMER, MA, 010691138
Browse MA providers · Browse ZIP 01069
Phone
4132845308
Fax
4132845413
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in PALMER, MA

Name Credential NPI
PAUL L. WILLIS MD 1184614703
ALEXANDER MATOLCSY M.D. 1477590578
BRIAN J HESSION M.D. 1093755522
PAUL S GERSTEIN M.D. 1306850664
DR. ROBERT ANDREW SPENCE M.D. 1174539191
AHMED H. ELMOGY M.D. 1568478147
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.