Mark P. Bouchard in Falmouth - Sports Medicine
Mark P. Bouchard - NPI 1023040656
Mark P. Bouchard is a Sports Medicine in Falmouth, Maine. Mark P. Bouchard practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Mark P. Bouchard is 1023040656. The last update date is 2020-04-09.
Mark P. Bouchard's current location address is 5 Bucknam Rd, Falmouth, Maine. You can contact this provider via phone number 2077811500 and fax number 2077811507. The mailing address for Mark P. Bouchard is 5 Bucknam Rd, Falmouth, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark P. Bouchard |
|---|---|
| Address | 5 Bucknam Rd, Falmouth, Maine |
| Phone Number | 2077811500 |
| Fax Number | 2077811507 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1023040656 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2020-04-09 |
Provider Mailing Address Detail
| Address | 5 Bucknam Rd |
|---|---|
| City | Falmouth |
| State | Maine (ME) |
| Post Code | 41051392 |
| Phone Number | 2077811500 |
| Fax Number | 2077811507 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | MD14613 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 254100099 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark P. Bouchard by the Centers for Medicare & Medicaid Services?
The Mark P. Bouchard has been issued the NPI (National Provider Identifier) 1023040656, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mark P. Bouchard is physically located?
The Mark P. Bouchard is physically situated at the following address: 5 Bucknam Rd, Falmouth, ME, 41051392.
What is Mark P. Bouchard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark P. Bouchard is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Qs0010X.
When did Mark P. Bouchard receive its 1023040656 assignment?
The Mark P. Bouchard was assigned its 1023040656 on 2006-07-06, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Mark P. Bouchard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark P. Bouchard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-04-09.