Bourgon, Abigail Rebecca

Bourgon, Abigail Rebecca is an individual health care provider with primary practice located at 345 Convention Way Suite D1, Redwood City CA 94063-1444. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bourgon, Abigail Rebecca can be contacted via phone (650) 306-3900.

Contact Information

Primary practice address
345 Convention Way Suite D1 Redwood City CA 94063-1444
Phone: (650) 306-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A106944 California

Profile Details

NPI number 1770845083
LBN Legal business name Bourgon, Abigail Rebecca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Jun 12th, 2012 - about 13 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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