PHILIP CHARLES BOULANGER

RICHMOND, VA
NPI1144429564
Entity TypeOrganization
Authorized ContactPHILIP CHARLES BOULANGER
Owner/President
804-389-2606
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2007-07-16
Last Update Date2008-06-26
Business Address
PHILIP CHARLES BOULANGER
9401 FERNLEIGH DR
RICHMOND, VA 23235-1311
Phone number: 804-389-2606
Mailing Address
PHILIP CHARLES BOULANGER
9401 FERNLEIGH DR
RICHMOND, VA 23235-1311
Phone number: 804-389-2606