Individual provider · Type 1 NPI

Wallace Bourgeois, MD

Pediatric Hematology & Oncology Physician · Boston, MA

NPI number 1811317209 Active

Practice location

450 Brookline Ave
Boston, MA 02215-5418

Call (617) 632-2423 Map

Mailing address

44 Binney St # D-3119
Boston, MA 02115-6013

Other practice locations

  • 300 Longwood Ave, Boston, MA 02115-5724 · (617) 355-6000

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X274015 (MA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Hematology & Oncology Physician Primary 2080P0207X274015 (MA)

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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About NPI 1811317209

Wallace Bourgeois, MD's National Provider Identifier is 1811317209, issued on Apr 24, 2014. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Boston, MA. The record was last updated on Feb 22, 2021.