Organization · NPI-2

Abington Family Healthcare, LLC

Family Medicine · Abington, CT

NPI number1871774034
StatusActive
Last updated in NPPESApr 20, 2010

Details

NPI
1871774034
Entity type
Organization (NPI-2)
Legal business name
Abington Family Healthcare, LLC
Organization subpart
No
Enumeration date
Nov 16, 2007
Last updated
Apr 20, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine000211CTYes

Other names

  • Kevin E Boucher, DO (Former Legal Business Name)

Practice location

5 Clinic Rd
Abington, CT 06230-2005

Phone 860-974-0529 · Fax 860-974-1029

Mailing address

5 Clinic Rd
Abington, CT 06230-2005

Phone 860-974-0529 · Fax 860-974-1029

Authorized official

Kevin E Boucher
Owner
8609740529

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