Individual provider · Type 1 NPI

Blaise Bourgeois, MD

Neurology with Special Qualifications in Child Neurology Physician · Boston, MA

NPI number 1972536282 Active

Practice location

300 Longwood Ave, Fegan 9
Boston, MA 02115-5724

Call (617) 355-2413 Map

Fax (617) 730-0463

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician 2080A0000X156598 (MA)
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402X156598 (MA)

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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About NPI 1972536282

Blaise Bourgeois, MD's National Provider Identifier is 1972536282, issued on Jul 9, 2006. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Boston, MA. The record was last updated on Aug 24, 2007.