17 WATERHOUSE LN
CHESTER, CT 06412-1267 US
Overview
Donald Francis Bouchard is a Contractor in the CHESTER area. Donald Francis Bouchard primary office location is at 17 WATERHOUSE LN and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1003004532 and the information was updated approximately 17 years ago.
Exclusion Alert
There is a Board Action or Exclusion recorded against this individual. The exclusions could be a Federal or State exclusions.
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Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: NO
Contact Information
| License Number | State |
|---|---|
| - | CT |
| Type/Issuer | Identifier | State |
|---|---|---|
| BLUE CROSS/SHIELD MA | GO376254 | CT |
| ANTHEM BLUE CROSS CT | 12DME0363CT02 | CT |
| Taxonomy | State | Primary? |
|---|---|---|
| Contractor - Taxonomy Code 171W00000X | CT | Y |
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