Bourganos, George

Bourganos, George is an individual health care provider with primary practice located at 68 Cumberland St Suite 103, Woonsocket RI 02895-3323. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bourganos, George can be contacted via phone (401) 762-3838.

Contact Information

Primary practice address
68 Cumberland St Suite 103 Woonsocket RI 02895-3323
Phone: (401) 762-3838
Fax: (401) 762-8252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD10285 Rhode Island
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD10285 Rhode Island

Profile Details

NPI number 1700883477
LBN Legal business name Bourganos, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jan 20th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700883477 NPPES
Rhode Island MEDICAID 7008247

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