Justin Bourque, PA-C
Physician Assistant, Surgical in Stamford, Connecticut
1649089087- Practice location
- 1 Hospital Plz, Stamford, CT 06902-3602
- Phone
- 203-279-7022
- Fax
- 203-276-5560
- Last updated
- March 7, 2025
Justin Bourque is a Physician Assistant, Surgical based in Stamford, CT. Justin Bourque practices in Stamford, CT and has the professional credentials of PA-C. The NPI Number for Justin Bourque is 1649089087 and holds a License No. 6945 (CT). The current practice location address for Justin Bourque is 1 Hospital Plz, Stamford, CT 06902-3602 and can be reached out via phone at 203-279-7022 and via fax at 203-276-5560.
Provider Profile Details
- NPI Number
- 1649089087
- Provider Name
- Justin Bourque
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Hospital Plz, Stamford, CT 06902-3602
- Phone Number
- 203-279-7022
- Fax Number
- 203-276-5560
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 31, 2024
- Last Update Date
- March 7, 2025
- Certification Date
- March 7, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Hospital Plz
Stamford, CT 06902-3602 - City
- Stamford
- State
- Connecticut
- Zip
- 06902-3602
- Phone Number
- 203-279-7022
- Fax Number
- 203-276-5560
Provider Business Mailing Address Details
- Address
- 1 Hospital Plz
Stamford, CT 06902-3602 - City
- Stamford
- State
- CT
- Zip
- 06902-3602
- Phone Number
- 203-276-7022
- Fax Number
- 203-276-5560
License Information
- License Number
- 6945
- License State
- CT
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Stamford, CT
View all Physician Assistant, Surgical providers in Stamford →- Allison B Luntz, PA-CPhysician Assistant, Surgical · NPI 1043947476
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- Christopher N Mascio, PA-CPhysician Assistant, Surgical · NPI 1437463247
- David Wallace, PA-CPhysician Assistant, Surgical · NPI 1720646672
- Erin R Anderson, PA-CPhysician Assistant, Surgical · NPI 1649579558
- Gregory J Jenkins, PAPhysician Assistant, Surgical · NPI 1023205358
Frequently Asked Questions
What is the NPI number of Justin Bourque, PA-C?
The NPI number of Justin Bourque, PA-C is 1649089087. It was assigned on December 31, 2024 and is currently active in the NPPES registry.
What is the specialty of Justin Bourque, PA-C?
Justin Bourque, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 6945.
Where does Justin Bourque, PA-C practice?
The practice location is 1 Hospital Plz, Stamford, CT 06902-3602. The office can be reached at 203-279-7022 (phone) or 203-276-5560 (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 1649089087 directly on the NPPES registry website.