Dr. Philip C Boulanger, MD
Internal Medicine in Richmond, VA. Individual provider (NPI-1).
NPI number1083685366
StatusActive
Last updated in NPPESApr 5, 2023
Details
- NPI
- 1083685366
- Entity type
- Individual (NPI-1)
- Name
- Dr. Philip C Boulanger
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 27, 2006
- Certification date
- Apr 5, 2023
- Last updated
- Apr 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 0101057867 | VA | Yes |
| 207Q00000X | Family Medicine | 0101057867 | VA |
Practice location
5911 W Broad StRichmond, VA 23230-2219
Phone 804-213-0259
Mailing address
1891 Virginia AveHarrisonburg, VA 22802-8374
Phone 804-389-2606
Other practice locations
5236 Timber Hollow Pl
Glen Allen, VA 23060-2846
Glen Allen, VA 23060-2846
Phone 804-389-2606
1891 Virginia Ave
Harrisonburg, VA 22802-8374
Harrisonburg, VA 22802-8374
Phone 804-389-2606
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