Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN BOURQUE, PA-C
ActiveJUSTIN BOURQUE, PA-C is a Surgical Physician Assistant healthcare provider located in STAMFORD, Connecticut. NPI 1649089087 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · STAMFORD, CT
Registration Details
- NPI Number
- 1649089087
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 31, 2024 (1.6163184257058 yrs)
- Last Updated
- Mar 7, 2025
- License
-
6945 (CT)
Practice Information
- Address
-
1 HOSPITAL PLZSTAMFORD, CT, 069023602Browse CT providers · Browse ZIP 06902
- Phone
- 2032797022
- Fax
- 2032765560
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in STAMFORD, CT
| Name | Credential | NPI |
|---|---|---|
| MRS. REBECCA O'NEILL | PHYSICIAN ASSISTANT | 1548254774 |
| MR. DANIEL JEW | PA | 1992857072 |
| MS. DIANE GOODWIN | PA-C | 1053467605 |
| TAMMIE EMMONS | PA-C | 1316084106 |
| MRS. BARBARA C KOHN | PA-C | 1104947969 |
| MR. TIMOTHY ERIC HANSEN | P.A.-C. | 1184845000 |
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.