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Michael Bourque

Surgeon Pediatric Surgery

282 Washington St
Hartford , Connecticut 06106-3322

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Michael Bourque

Surgeon Pediatric Surgery

282 Washington St
Hartford , Connecticut 06106-3322

(860) 545-9545

Write a Review Save Call

Michael Bourque

Surgeon Pediatric Surgery

282 Washington St
Hartford , Connecticut 06106-3322

(860) 545-9545 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Surgeon
  • Pediatric Surgery

Languages spoken

  • English

Location

282 Washington St Hartford , Connecticut 06106-3322

First Address

  • Michael Bourque
  • 282 Washington St
  • Hartford, CT
  • Zip : 06106-3322
  • Fax : (860) 545-9545
  • Phone : (860) 545-9520

Second Address

  • Michael Bourque
  • 282 Washington St
  • Hartford, CT
  • Zip : 06106-3322
  • Fax : (860) 545-9545
  • Phone : (860) 545-9520

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FAQs


Where did Michael Bourque attend graduate school?

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Where did Michael Bourque do his residency?

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Where did Michael Bourque do his fellowship?

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Is Michael Bourque board certified?

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What type of doctor is Michael Bourque

Pediatric Surgery

In what state does Michael Bourque practice in?

Connecticut

Where is Michael Bourque ’s practice located?

282 Washington St , Hartford, Connecticut, 06106-3322

What is Michael Bourque ’s gender?

Male

Is Michael Bourque a sole practitioner?

No

Is Michael Bourque accepting new patients?

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What languages does Michael Bourque speak?

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Does Michael Bourque accept insurance?

Yes, Michael Bourque accepts insurance

Does Michael Bourque offers telemedicine?

Michael Bourque has not indicated if he offers telemedicine

What is Michael Bourque ’s professional license number?

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What is Michael Bourque ’s NPI number?

1518939321

Does Michael Bourque have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 208200000X Surgeon 029964 CT
N 208600000X Surgeon 029964 CT
Y 2086S0120X Pediatric Surgery 029964 CT

National Provider Identifier

NPI 1518939321
Provider Name Michael Bourque
First Address Hartford, CT 06106-3322
Second Address Hartford, CT 06106-3322
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 06/02/2006
Last Update Date 04/11/2013

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
001299644 (05) CT
E32401 (02) CT

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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