George Boucher, MD
Physical Medicine & Rehabilitation in Buffalo, NY. Individual provider (NPI-1).
NPI number1992776496
StatusActive
Last updated in NPPESNov 30, 2017
Details
- NPI
- 1992776496
- Entity type
- Individual (NPI-1)
- Name
- George Boucher
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2006
- Last updated
- Nov 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 234234 | NY | Yes |
Practice location
462 Grider StBuffalo, NY 14215-3021
Phone 716-898-5498
Mailing address
908 Niagara Falls Blvd Ste 208North Tonawanda, NY 14120-2019
Phone 716-692-3302 · Fax 716-692-4342
Other practice locations
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