Dr MARTHA BOUCHARD is a female medical professional, specializing in Internal Medicine. She graduated in 1981.
NORTHERN MEDICAL GROUP, PLLC
111 CLOCK TOWER CMNS
BREWSTER
NY
105094055
Tel: 8452795187
| Npi | 1467439893 |
| Pac Id | 2860517372 |
| Professional Enrollment Id | I20100921000095 |
| Last Name | BOUCHARD |
| First Name | MARTHA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1981 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | NORTHERN MEDICAL GROUP, PLLC |
| Group Practice Pac Id | 6901104157 |
| Number Of Group Practice Members | 70 |
| Line 1 Street Address | 111 CLOCK TOWER CMNS |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BREWSTER |
| State | NY |
| Zip Code | 105094055 |
| Phone Number | 8452795187 |
| Hospital Affiliation Ccn 1 | 330273 |
| Hospital Affiliation Lbn 1 | PUTNAM HOSPITAL CENTER |
| Hospital Affiliation Ccn 2 | 330023 |
| Hospital Affiliation Lbn 2 | VASSAR BROTHERS MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Professional Accepts Medicare Assignment | Y |
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