Stephen John Bourgault, O.D.

NPI #1407849029 in Fitchburg, Massachusetts

Provider Information

NPI Number: 1407849029
Entity Type: Individual
Name: Stephen John Bourgault, O.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 30, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 61 FOX ST
City: Fitchburg
State: Massachusetts
ZIP Code: 01420-3235
Phone: (978) 342-7147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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