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Contact Information

JOSEPH P BOUVIER JR, MD
275 BICENTENNIAL HWY STE 101
SPRINGFIELD, MA01118-1965
 Phone: 413-783-3100
 Fax: 413-782-7998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JOSEPH P BOUVIER JR · (Male)

NPI # 1295744720
Status Active
Credentials MD
Entity Individual
Enumeration date 08/05/2006
Last updated 10/05/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 226532
  • MA Medicaid 110042142
  • MA Other TUFTS 494426
  • MA Other 1134436 AETNA
  • MA Other J29677 BLUE CROSS BLUE SHIELD
  • MA Other MB6436 BMC HEALTHNET
  • MA Other 226532 CONNECTICARE
  • MA Other MA3541 EYEMED
  • MA Other 128529 FALLON
  • MA Other AA347095 HARVARD PILGRIM HEALTH CARE
  • MA Other 226532 MASSACHUSETTS LICENSE
Hospital affiliation(s)
  • BAYSTATE MEDICAL CENTER - (Acute Care)
    759 CHESTNUT STREET
    SPRINGFIELD, MA 01199
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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