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Wallace Bourgeois, MD
Pediatric Hematology & Oncology Physician in Boston, Massachusetts
NPI 1811317209

Wallace Bourgeois is a Pediatric Hematology & Oncology Physician based in Boston, MA and is specialized in Pediatric Hematology-Oncology. Wallace Bourgeois practices in Boston, MA and has the professional credentials of MD. The NPI Number for Wallace Bourgeois is 1811317209 and holds a License No. 274015 (Massachusetts).

The current practice location address for Wallace Bourgeois is 450 Brookline Ave, Boston, MA and can be reached out via phone at 617-632-2423.

Location: 450 Brookline Ave, Boston, MA, 02115-6013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811317209
Provider Name
Wallace Bourgeois
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
450 Brookline Ave, Boston, MA, 02115-6013
Phone Number
617-632-2423
Fax Number
Provider Enumeration Date
04/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
450 Brookline Ave
City
Boston
State
Massachusetts
Zip
02215-5418
Phone Number
617-632-2423
Fax Number
person
Provider Business Mailing Address Details
Address
450 Brookline Ave
City
Boston
State
Massachusetts
Zip
02215-5418
Phone Number
617-632-2423
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
274015 (Massachusetts)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Hematology-Oncology
Taxonomy
2080P0207X
License No.
()
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
274015 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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