institution
Philip Charles Boulanger
General Practice Physician in Richmond, Virginia
NPI 1144429564

Philip Charles Boulanger is a General Practice Physician based in Richmond, VA. Philip Charles Boulanger practices in Richmond, VA. The NPI Number for Philip Charles Boulanger is 1144429564 and holds a License No. (Virginia).

The current practice location address for Philip Charles Boulanger is 9401 Fernleigh Dr, Richmond, VA and can be reached out via phone at 804-389-2606 and via fax at 804-747-0643.

Location: 9401 Fernleigh Dr, Richmond, VA, 23235-1311
institution
Provider Profile Details
NPI Number
1144429564
Provider Name
Philip Charles Boulanger
Credential
Provider Entity Type
Organization
Address
9401 Fernleigh Dr, Richmond, VA, 23235-1311
Phone Number
804-389-2606
Fax Number
804-747-0643
Provider Enumeration Date
07/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
190001514 01 VA MEDICARE GROUP#
institution
Provider Business Practice Location Address Details
Address
9401 Fernleigh Dr
City
State
Zip
23235-1311
Phone Number
804-389-2606
Fax Number
804-747-0643
person
Provider Business Mailing Address Details
Address
9401 Fernleigh Dr
City
State
Zip
23235-1311
Phone Number
804-389-2606
Fax Number
804-747-0643
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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