David M Bourassa in Warwick - Pediatrics

David M Bourassa - NPI 1215992870

David M Bourassa is a Pediatrics in Warwick, Rhode Island. David M Bourassa practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for David M Bourassa is 1215992870. The last update date is 2018-03-29.

David M Bourassa's current location address is 171 Service Avenue, Warwick, Rhode Island. You can contact this provider via phone number 4017674100 and fax number 4012356899. The mailing address for David M Bourassa is 171 Service Avenue, Warwick, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name David M Bourassa
Address 171 Service Avenue, Warwick, Rhode Island
Phone Number 4017674100
Fax Number 4012356899
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1215992870
Provider Enumeration Date 2006-04-18
Last Updated Date 2018-03-29

Provider Mailing Address Detail

Address 171 Service Avenue
City Warwick
State Rhode Island (RI)
Post Code 2886
Phone Number 4017674100
Fax Number 4012356899

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No MD09354
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7005698 RI --

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FAQs about David M Bourassa

What is the unique provider identifier assigned to David M Bourassa?

The David M Bourassa has been issued the NPI (National Provider Identifier) 1215992870 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where David M Bourassa's facilities are situated?

The facilities of David M Bourassa are physically located at the following address: 171 Service Avenue, Warwick, RI, 2886.

What is the area of specialization for David M Bourassa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for David M Bourassa is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

When did David M Bourassa receive its 1215992870 assignment?

The David M Bourassa was assigned its 1215992870 on 2006-04-18, which is the date when this unique identifier was issued to the organization.

When was the information regarding David M Bourassa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to David M Bourassa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-03-29.

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