DR. Douglas Michael Bourque, MD

NPI #1427054907 in Baltimore, Maryland

Provider Information

NPI Number: 1427054907
Entity Type: Individual
Name: DR. Douglas Michael Bourque, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Obstetrics & Gynecology
Credential: MD
Enumeration Date: Jun 21, 2005
Last Updated: Mar 28, 2013

Practice Location

Address: 3509 EASTERN AVE
City: Baltimore
State: Maryland
ZIP Code: 21224
Phone: (410) 558-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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