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Dr. Gene Louis Boucher, DC
Chiropractor in Fairfield, New Jersey
NPI 1184694788

Gene Louis Boucher is a Chiropractor based in Fairfield, NJ. Gene Louis Boucher practices in Fairfield, NJ and has the professional credentials of DC. The NPI Number for Gene Louis Boucher is 1184694788 and holds a License No. (New Jersey).

The current practice location address for Gene Louis Boucher is 26 Mill St, Fairfield, NJ and can be reached out via phone at 736-505-2259.

Location: 26 Mill St, Fairfield, NJ, 07004-3824
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Provider Profile Details
NPI Number
1184694788
Provider Name
Gene Louis Boucher
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
26 Mill St, Fairfield, NJ, 07004-3824
Phone Number
736-505-2259
Fax Number
Provider Enumeration Date
01/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5489614 01 NJ AETNA HMO/PPO
37-1499484 01 NJ QUALCARE
37-1499484 01 NJ HORIZON BC/BS
institution
Provider Business Practice Location Address Details
Address
26 Mill St
City
State
Zip
07004-3824
Phone Number
736-505-2259
Fax Number
person
Provider Business Mailing Address Details
Address
26 Mill St
City
State
Zip
07004-3824
Phone Number
736-505-2259
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
MC005511 (New Jersey)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
License No.
()
Definition
Definition to come...
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