Justin Bourque, PA-C
Justin Bourque, PA-C is a Physician Assistant in Stamford, Connecticut. Qualified in 2024, 2 years ago. Practices with Stamford Health Medical Group Inc, a 432-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 2
- Licensed in
- CT
- In the registry since
- 2024
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1 Hospital PlzStamford, CT 06902-3602
Phone: (203) 279-7022
Fax: (203) 276-5560
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 6945 (CT) |
|---|
Record details
| NPI number | 1649089087 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | December 31, 2024 |
| Last updated in NPPES | March 7, 2025 |
| Certification date | March 7, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Stamford Health Medical Group Inc — 432 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Practises at
- Stamford Hospital Hospital · Stamford, CT
Colleagues at Stamford Health Medical Group Inc
- James Bauman, MD Diagnostic Radiology Physician · Norwalk, CT
- Jennifer Bellucci Surgical Physician Assistant · Stamford, CT
- Ivanna Bodnar, NP Family Medicine Physician · Stamford, CT
- Charles Brown, PA-C Surgical Physician Assistant · Purchase, NY
- Dr. Mitchell Brent Clark, MD Student in an Organized Health Care Education/Training Program · New Haven, CT
- Hamed Emami, MD Clinical Cardiac Electrophysiology Physician · Stamford, CT
- Dr. Carol Ann Fucigna, MD Obstetrics & Gynecology Physician · Wilton, CT
- Aruna Kotla, PA-C Medical Physician Assistant · Darien, CT
- Dr. Kamil W Nowicki, MD, PHD Neurological Surgery Physician · Stamford, CT
- Shanne C Ostiguy, APRN Family Nurse Practitioner · Stamford, CT
- Dr. Louise D Resor, MD Neurology Physician · Stamford, CT
- Mr. Dakota Blake Wood, PA-C Physician Assistant · Stamford, CT
Other providers in Stamford
-
Erin Rachel Anderson, PA-C
1 Hospital Plz, Stamford, CT 06902 · (203) 276-2191
-
MS. Genie Noelle Ball, PA-C
32 Strawberry Hill Ct Ste 11001, Stamford, CT 06902-2594 · (203) 276-4400
-
Jennifer Bellucci
1 Hospital Plz, Stamford, CT 06902-3602 · (203) 276-1000
-
Chelsea Marie Clark, PA-C
1 Hospital Plz, Stamford, CT 06902-3602 · (203) 276-1000
-
Maria De Vivo, PA-C
1 Hospital Plz, Stamford, CT 06902-3602 · (203) 276-7022
-
Tammie Emmons, PA-C
30 Shelburne Rd, Stamford, CT 06902-3628 · (203) 276-7470
-
MS. Diane Goodwin, PA-C
30 Shelburne Rd, Stamford, CT 06902-3628 · (203) 276-1000