DAVID ROBERGE BOUCHARD

BALTIMORE, MD
NPI1831658095
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: MD  H0101945)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-18
Last Update Date2024-11-20
Business Address
DAVID ROBERGE BOUCHARD DO
1800 ORLEANS ST
BALTIMORE, MD 21287-0010
Phone number: 410-955-8893
Mailing Address
DAVID ROBERGE BOUCHARD DO
6201 GREENLEIGH AVE FL 2
MIDDLE RIVER, MD 21220-2004
Phone number: 410-933-2704