Richard P. Boughal, M.d., P.c.

NPI #1790942944 in Northport, New York

Provider Information

NPI Number
1790942944
Entity Type
Organization
Organization Name
Richard P. Boughal, M.d., P.c.
Primary Specialty
Internal Medicine
Enumeration Date
May 16, 2008
Last Updated
Jun 24, 2008

Practice Location

Address
308 MAIN ST
ZIP Code
11768-1740
Phone
(631) 261-3243

Authorized Official

Name
RICHARD PATRICK BOUGHAL, M.D.
Title
PRESIDENT
Phone
(631) 261-3243

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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