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Rene Godbout Boudreau, MD

Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).

NPI number1093691131
StatusActive
Last updated in NPPESAug 13, 2025

Details

NPI
1093691131
Entity type
Individual (NPI-1)
Name
Rene Godbout Boudreau
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 13, 2025
Certification date
Aug 13, 2025
Last updated
Aug 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program3017867MAYes

Practice location

55 Fruit St
Boston, MA 02114-2621

Phone 866-644-8910

Mailing address

101 Canal St Apt 405
Boston, MA 02114-1819

Phone 617-851-5916

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