Blaise Bourgeois in Boston - Adolescent Medicine
Blaise Bourgeois - NPI 1972536282
Blaise Bourgeois is a Adolescent Medicine in Boston, Massachusetts. Blaise Bourgeois practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Blaise Bourgeois is 1972536282. The last update date is 2007-08-24.
Blaise Bourgeois's current location address is 300 Longwood Ave, Boston, Massachusetts. You can contact this provider via phone number 6173552413 and fax number 6177300463. The mailing address for Blaise Bourgeois is 300 Longwood Ave, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blaise Bourgeois |
|---|---|
| Address | 300 Longwood Ave, Boston, Massachusetts |
| Phone Number | 6173552413 |
| Fax Number | 6177300463 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1972536282 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2007-08-24 |
Provider Mailing Address Detail
| Address | 300 Longwood Ave |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21155724 |
| Phone Number | 6173552413 |
| Fax Number | 6177300463 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 156598 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3183271 | MA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Blaise Bourgeois?
The Blaise Bourgeois has been issued the NPI (National Provider Identifier) 1972536282 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Blaise Bourgeois is located?
The Blaise Bourgeois is situated at the following address: 300 Longwood Ave, Boston, MA, 21155724.
What is Blaise Bourgeois's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Blaise Bourgeois is Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 2080A0000X.
On what date did the Blaise Bourgeois receive its 1972536282 assignment from the Centers for Medicare & Medicaid Services?
The Blaise Bourgeois was assigned its 1972536282 by the Centers for Medicare & Medicaid Services on 2006-07-09.
When was the information regarding Blaise Bourgeois most recently updated?
The details pertaining to the Blaise Bourgeois, including its address, specialty, and other relevant information, were last refreshed on 2007-08-24.
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