Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSEPH G BOUSCAREN, M.D.
ActiveSports Medicine (Psychiatry) · CAMBRIDGE, MA
Registration Details
- NPI Number
- 1174648000
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2007 (19.088991576517 yrs)
- Last Updated
- Jul 8, 2007
- License
-
58613 (MA)
Practice Information
- Address
-
18 HEMLOCK RDCAMBRIDGE, MA, 021382241Browse MA providers · Browse ZIP 02138
- Phone
- 6173547254
- Primary Specialty
-
Sports Medicine (Psychiatry)
2084S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.