Bourque, Daniel L

Bourque, Daniel L is an individual health care provider with primary practice located at 725 Albany St, Ste 9B & C Shapiro Bldg, Boston MA 02118-2526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Bourque, Daniel L can be contacted via phone (617) 414-4290.

Contact Information

Primary practice address
725 Albany St, Ste 9B & C Shapiro Bldg Boston MA 02118-2526
Phone: (617) 414-4290
Fax: (617) 414-4285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 243941 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 243941 Massachusetts

Profile Details

NPI number 1427254846
LBN Legal business name Bourque, Daniel L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2007
Last updated Jun 21st, 2023 - about last year

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 1427254846 NPPES
Massachusetts MEDICAID 1100907782A

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