Michael Bourque, MD
Surgery, Pediatric Surgery in Hartford, Connecticut
1518939321- Practice location
- 282 Washington St, Hartford, CT 06106-3322
- Phone
- 860-545-9520
- Fax
- 860-545-9545
- Last updated
- November 4, 2013
Michael Bourque is a Surgery, Pediatric Surgery based in Hartford, CT. Michael Bourque practices in Hartford, CT and has the professional credentials of MD. The NPI Number for Michael Bourque is 1518939321 and holds a License No. 029964 (CT). The current practice location address for Michael Bourque is 282 Washington St, Hartford, CT 06106-3322 and can be reached out via phone at 860-545-9520 and via fax at 860-545-9545.
Provider Profile Details
- NPI Number
- 1518939321
- Provider Name
- Michael Bourque
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 282 Washington St, Hartford, CT 06106-3322
- Phone Number
- 860-545-9520
- Fax Number
- 860-545-9545
- Primary Taxonomy
- Surgery, Pediatric Surgery · 2086S0120X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 6, 2006
- Last Update Date
- November 4, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 282 Washington St
Hartford, CT 06106-3322 - City
- Hartford
- State
- Connecticut
- Zip
- 06106-3322
- Phone Number
- 860-545-9520
- Fax Number
- 860-545-9545
Provider Business Mailing Address Details
- Address
- 282 Washington St
Hartford, CT 06106-3322 - City
- Hartford
- State
- CT
- Zip
- 06106-3322
- Phone Number
- 860-545-9520
- Fax Number
- 860-545-9545
License Information
- License Number (1)
- 029964
- License State (1)
- CT
- Taxonomy (1)
- Surgery · 208600000X
- License Number (2)
- 029964
- License State (2)
- CT
- Taxonomy (2)
- Surgery, Pediatric Surgery · 2086S0120X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery, Pediatric Surgery providers near Hartford, CT
View all Surgery, Pediatric Surgery providers in Hartford →- Brendan T Campbell, MDSurgery, Pediatric Surgery · NPI 1508809674
- Dr. Christine M Finck, MDSurgery, Pediatric Surgery · NPI 1144278896
- Dr. Christine M Rader, MDSurgery, Pediatric Surgery · NPI 1841482064
- Jessica Grant, LCSWSocial Worker, Clinical · NPI 1558037416
- Meredith E Lafond, PA-CPhysician Assistant · NPI 1861016743
- Jessica E Lewis, LCSWSocial Worker, Clinical · NPI 1689419392
Frequently Asked Questions
What is the NPI number of Michael Bourque, MD?
The NPI number of Michael Bourque, MD is 1518939321. It was assigned on February 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Michael Bourque, MD?
Michael Bourque, MD is registered under the primary taxonomy Surgery, Pediatric Surgery (code 2086S0120X), licensed in CT under license number 029964.
Where does Michael Bourque, MD practice?
The practice location is 282 Washington St, Hartford, CT 06106-3322. The office can be reached at 860-545-9520 (phone) or 860-545-9545 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518939321 directly on the NPPES registry website.