Philip C Boulanger MD

NPI 1083685366 - Family Medicine - 207Q00000X

NPI Details
NPI 1083685366
Gender Male
Enumeration Date 01/27/2006
Last Updated 11/18/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
5236 TIMBER HOLLOW PL
GLEN ALLEN VA, 23060-2846, US
Phone (804) 389-2606
Fax
Business Location
1891 VIRGINIA AVE
HARRISONBURG VA, 22802-8374, US
Phone (804) 389-2606
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number 0101057867
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According to our database, Dr. Philip C Boulanger MD NPI is 1083685366, taxonomy code is 207Q00000X and license number is 0101057867, license state is located at Virginia. Philip C Boulanger MD physically located at 5236 Timber Hollow Pl, Glen Allen VA, 23060-2846. NPI Number Philip C Boulanger MD has the Individual type.

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1083685366 NPI number is provided on an as is basis without warranty of any kind. 1083685366 is maintained by the National Plan & Provider Enumeration System. The contents of Philip C Boulanger MD are for informational purposes only.