Individual
KAREN J. BOURGEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
305 BICENTENNIAL HWY, SPRINGFIELD, MA 01118-1962
(413) 733-4101
(413) 796-6821
Mailing address
305 BICENTENNIAL HWY, SPRINGFIELD, MA 01118-1962
(413) 733-4101
(413) 796-6821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
922
MA
Other
Enumeration date
04/20/2006
Last updated
12/05/2011
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