TINA A BOUCHER, DPM, Surgery, Foot & Ankle MERIDEN, CT

Contact Information

TINA A BOUCHER, DPM

807 BROAD ST
MERIDEN, CT 06450-4301

Phone: 203-238-3668
Fax: 203-238-3670
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for TINA A BOUCHER · (Female)

NPI Number	`1518945401`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	01/03/2006
Last updated	05/26/2016 - About 10 years ago
Sole proprietor ¹	No
Identifiers	CT License # 0000805
Hospital affiliation(s)	HOSPITAL OF CENTRAL CONNECTICUT THE - (Acute Care) 100 GRAND STREET NEW BRITAIN, CT 06050

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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