Margaret Elizabeth Boucher

Individual provider Active NPI Physician Assistant · Stamford, CT

NPI 1487519310 · NPPES record last updated Dec 23, 2025

Key facts

NPI
1487519310
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
777 Summer St Apt 338
Stamford, CT 06901-1066
Phone
(203) 667-5041
NPI assigned
Dec 23, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

Addresses

Primary practice location

777 Summer St Apt 338
Stamford, CT 06901-1066

Mailing address

777 Summer St Apt 338
Stamford, CT 06901-1066

Other providers in Stamford, CT

All providers in Stamford, CT · Physician Assistant in Connecticut

Sources for this page

Verify at the official NPI Registry.