Active NPIIndividual provider

Tara Bouchard, PAC

Physician Assistant in Cape May Court House, New Jersey

NPI Number1689891574
Practice location
223 N Main St Ste 103, Cape May Court House, NJ 08210-2182
Fax
609-778-2358
Last updated
March 17, 2025

Tara Bouchard is a Physician Assistant based in Cape May Court House, NJ. Tara Bouchard practices in Cape May Court House, NJ and has the professional credentials of PAC. The NPI Number for Tara Bouchard is 1689891574 and holds a License No. MA052284 (PA). The current practice location address for Tara Bouchard is 223 N Main St Ste 103, Cape May Court House, NJ 08210-2182 and can be reached out via phone at 609-463-2273 and via fax at 609-778-2358.

Provider Profile Details

NPI Number
1689891574
Provider Name
Tara Bouchard
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
223 N Main St Ste 103, Cape May Court House, NJ 08210-2182
Phone Number
609-463-2273
Fax Number
609-778-2358
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
April 20, 2007
Last Update Date
March 17, 2025
Certification Date
March 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
223 N Main St Ste 103
Cape May Court House, NJ 08210-2182
Zip
08210-2182
Phone Number
609-463-2273
Fax Number
609-778-2358
Cape May Court House, NJ 08210Get directions →

Provider Business Mailing Address Details

Address
1 Federal St Ste 200
Camden, NJ 08103-1088
City
Camden
State
NJ
Zip
08103-1088
Phone Number
848-288-6935
Fax Number
732-790-0107

License Information

License Number (1)
MA052284
License State (1)
PA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00462600
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tara Bouchard, PAC?

The NPI number of Tara Bouchard, PAC is 1689891574. It was assigned on April 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Tara Bouchard, PAC?

Tara Bouchard, PAC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in PA under license number MA052284.

Where does Tara Bouchard, PAC practice?

The practice location is 223 N Main St Ste 103, Cape May Court House, NJ 08210-2182. The office can be reached at 609-463-2273 (phone) or 609-778-2358 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689891574 directly on the NPPES registry website.

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