Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE BOURGEOIS, M.D.
ActiveWALLACE BOURGEOIS, M.D. is a Pediatric Hematology-Oncology healthcare provider located in BOSTON, Massachusetts. NPI 1811317209 is currently active in the NPPES registry. Verify at CMS.
Pediatric Hematology-Oncology · BOSTON, MA
Registration Details
- NPI Number
- 1811317209
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2014 (12.337693491207 yrs)
- Last Updated
- Feb 22, 2021
- Licenses
-
274015 (MA)274015 (MA)
Practice Information
- Address
-
450 BROOKLINE AVEBOSTON, MA, 022155418Browse MA providers · Browse ZIP 02215
- Phone
- 6176322423
- Primary Specialty
-
Pediatric Hematology-Oncology
2080P0207X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pediatric Hematology-Oncology
Other Pediatric Hematology-Oncology Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| DR. MARY STEPHANIE HUANG | MD | 1811987142 |
| DR. ALAN D MICHELSON | M.D. | 1760464994 |
| DR. DAVID HENRY EBB | MD | 1003898297 |
| SUSAN P PERRINE | MD | 1427035302 |
| SUSAN E PROCKOP | MD | 1053382531 |
| DR. ERIC FRANKLIN GRABOWSKI | MD SCD | 1285607481 |
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.