person
Anita L Bourque, MD
Diagnostic Radiology Physician in New Britain, Connecticut
NPI 1730166109

Anita L Bourque is a Diagnostic Radiology Physician based in New Britain, CT and is specialized in Diagnostic Radiology. Anita L Bourque practices in New Britain, CT and has the professional credentials of MD. The NPI Number for Anita L Bourque is 1730166109 and holds a License No. 029902 (Connecticut).

The current practice location address for Anita L Bourque is 100 Grand St, New Britain, CT and can be reached out via phone at 860-224-5556. You can also correspond with Anita L Bourque through the mailing address at 1 LIBERTY SQ, NEW BRITAIN, CT - 06051-2637 (mailing address contact number: 860-827-0071).

Location: 100 Grand St, New Britain, CT, 06051-2637
person
Provider Profile Details
NPI Number
1730166109
Provider Name
Anita L Bourque
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
100 Grand St, New Britain, CT, 06051-2637
Phone Number
860-224-5556
Fax Number
Provider Enumeration Date
12/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001299024 05 CT
institution
Provider Business Practice Location Address Details
Address
100 Grand St
City
State
Zip
06052-2016
Phone Number
860-224-5556
Fax Number
person
Provider Business Mailing Address Details
Address
1 Liberty Sq
City
State
Zip
06051-2637
Phone Number
860-827-0071
Fax Number
860-229-5642
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
029902 (Connecticut)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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