Active NPIIndividual provider

Dr. Regis J Boudreau, DPM

Podiatrist in Carlisle, Massachusetts

NPI Number1992875744
Practice location
1159 North RD, Carlisle, MA 01741-1245
Fax
617-244-5203
Last updated
February 13, 2025

Regis Joseph Boudreau is a Podiatrist based in Carlisle, MA. Regis Joseph Boudreau practices in Carlisle, MA and has the professional credentials of DPM. The NPI Number for Regis Joseph Boudreau is 1992875744 and holds a License No. 1922 (MA). The current practice location address for Regis Joseph Boudreau is 1159 North RD, Carlisle, MA 01741-1245 and can be reached out via phone at 617-244-3831 and via fax at 617-244-5203.

Provider Profile Details

NPI Number
1992875744
Provider Name
Regis Joseph Boudreau
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1159 North RD, Carlisle, MA 01741-1245
Phone Number
617-244-3831
Fax Number
617-244-5203
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
No
Provider Enumeration Date
November 9, 2006
Last Update Date
February 13, 2025
Certification Date
February 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1159 North RD
Carlisle, MA 01741-1245
Zip
01741-1245
Phone Number
617-244-3831
Fax Number
617-244-5203
Carlisle, MA 01741Get directions →

Provider Business Mailing Address Details

Address
1159 North RD
Carlisle, MA 01741-1245
City
Carlisle
State
MA
Zip
01741-1245
Phone Number
617-244-3831
Fax Number
617-244-5203

License Information

License Number
1922
License State
MA
Taxonomy
Podiatrist · 213E00000X · 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 Dr. Regis J Boudreau, DPM?

The NPI number of Dr. Regis J Boudreau, DPM is 1992875744. It was assigned on November 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Regis J Boudreau, DPM?

Dr. Regis J Boudreau, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in MA under license number 1922.

Where does Dr. Regis J Boudreau, DPM practice?

The practice location is 1159 North RD, Carlisle, MA 01741-1245. The office can be reached at 617-244-3831 (phone) or 617-244-5203 (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 1992875744 directly on the NPPES registry website.

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