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1447328059
RICHARD PATRICK BOUGHAL
NORTHPORT, NY
NPI
1447328059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 149485)
Enumeration Date
2006-12-01
Last Update Date
2013-12-26
Business Address
Dr. RICHARD PATRICK BOUGHAL MD
308 MAIN STREET
NORTHPORT, NY 11768
Phone number: 631-261-3243
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Mailing Address
Dr. RICHARD PATRICK BOUGHAL MD
308 MAIN STREET
NORTHPORT, NY 11768
Phone number: 631-261-3243
Copy
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