Dr. Daniel L Bourque, MD
Dr. Daniel L Bourque, MD is an Infectious Disease in Boston, Massachusetts. Qualified in 2007, 19 years ago. Practices with Evans Medical Foundation Inc, a 526-clinician group and accepts Medicare assignment. Licensed in Massachusetts.
- Years since qualifying
- 19
- Licensed in
- MA
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
725 Albany St Ste 9B & C Shapiro BldgBoston, MA 02118-2526
Phone: (617) 414-4290
Fax: (617) 414-4285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Infectious Disease Physician (primary) | Taxonomy 207RI0200X · Licence 243941 (MA) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 243941 (MA) |
Record details
| NPI number | 1427254846 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 22, 2007 |
| Last updated in NPPES | June 21, 2023 |
| Certification date | June 21, 2023 |
| Mailing address | 960 Massachusetts Avenue, Fl 2, Boston, MA 02118-2690 |
Medicare enrollment
| Medicare specialty | INFECTIOUS DISEASE |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Evans Medical Foundation Inc — 526 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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Tara C. Bouton, MD
725 Albany St Shapiro 9 B And C, Boston, MA 02118-3549 · (617) 414-4290
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Dr. Diana Marina Brainard, MD
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