Dr. Gene L. Boucher DC
Chiropractor in Fairfield, NJ(View on Map)
Full Name
Dr. Gene Louis Boucher DC
NPI Number
1184694788
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/25/2006
Specialties
(Taxonomies)Code
111N00000X
246ZE0600X
Primary Taxonomy
Yes
No
Licenses
State
New Jersey
License Number
MC005511
Contact
Information
Purpose
Mailing
Location
Address
26 MILL ST
26 MILL ST
City
Fairfield
Fairfield
State
NJ
NJ
Postal Code
07004-3824
07004-3824
Country
US
US
Telephone Number
(973) 650-5225
(736) 505-2259
Identifiers
Identifier
5489614
37-1499484
37-1499484
Identifier State
NJ
NJ
NJ
Identifier Issuer
AETNA HMO/PPO
QUALCARE
HORIZON BC/BS
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/03/2020