Most Relevant Information
Provider Data
| NPI Number: | 1003004532 |
| Provider Name: | DONALD FRANCIS BOUCHARD |
| Entity Type: | Individual |
| Taxonomy Code: | 171W00000X |
| Specialty: | Contractor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/10/2007 |
| Last Updated: | 10/10/2007 |
Provider Practice Location
17 WATERHOUSE LN
CHESTER
CT
064121267
Practice Location Phone/Fax
| Phone: | 8605264333 |
| Fax: | 8605264333 |
Provider Mailing Location
17 WATERHOUSE LN
GOLDSTAR MEDICAL SERVICES, INC.
CHESTER
CT
06412
Provider Mailing Phone/Fax
| Phone: | 8605264333 |
| Fax: | 8605264333 |