Individual
MARGARET ELLIS BOURDEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, DEPARTMENT OF MEDICINE, BOSTON, MA 02115-6110
(617) 739-0264
Mailing address
94 BROWNE ST, APT 1, BROOKLINE, MA 02446-7008
(970) 412-1755
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
218179
MA
282N00000X
General Acute Care Hospital
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Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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