NPI 1144429564

Philip Charles Boulanger

Organisation General Practice Physician Richmond, VA

Practice location

Address: 9401 Fernleigh Dr, Richmond, VA 23235-1311
Phone: (804) 389-2606
Fax: (804) 747-0643

Authorised official

Name: Philip Charles Boulanger
Title: Owner/President
Phone: (804) 389-2606

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Virginia →

Registry record

NPI: 1144429564
Entity type: Organization
NPI issued: 16 Jul 2007
Record last updated: 26 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.