David M Bourassa
M.D. | Pediatrics | Male
David M Bourassa, M.D. is a Woonsocket, Rhode Island based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of David M Bourassa is
450 Clinton Street, Woonsocket, Rhode Island - 02895. He can be contacted on phone at
401-767-4100 and fax number 401-235-6894.
David M Bourassa is a sole proprietor of his business.
NPI number (Unique professional ID) for David M Bourassa is
1215992870 which was assigned by NPPES on 18 Apr, 2006 and it was last updated on 29 Mar, 2018.
David M Bourassa license number is
MD09354 for Pediatrics (208000000X) in Rhode Island.
David M Bourassa is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
David M Bourassa basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
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Provider Name : | David M Bourassa |
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Credential : | M.D. |
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Gender : | Male |
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Business Address:
David M Bourassa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 450 Clinton Street Woonsocket, RI, 02895 United States |
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Phone Number : | 401-767-4100 |
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Fax Number : | 401-235-6894 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1215992870 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 18 Apr, 2006 |
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Last Updated On : | 29 Mar, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David M Bourassa are as mentioned. Primary taxonomy code for David M Bourassa, M.D. is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
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208000000X | Pediatrics | Yes | MD09354 | RI |
Legacy Identifiers:
Other legacy medical identifiers of David M Bourassa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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7005698 | MEDICAID | RI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 171 Service Avenue Warwick, RI, 02886 United States |
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Phone Number : | 401-767-4100 |
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Fax Number : | 401-235-6899 |
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Business Location:
Patients can refer following map for directions to
David M Bourassa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.