Individual
JOSEPH G BOUSCAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 HEMLOCK RD, CAMBRIDGE, MA 02138-2241
(617) 354-7254
Mailing address
18 HEMLOCK RD, CAMBRIDGE, MA 02138-2241
(617) 354-7254
Taxonomy
Speciality
Code
Description
License number
State
2084S0010X
Sports Medicine (Psychiatry & Neurology) Physician
Primary
58613
MA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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