Individual
MEENA BOLOURCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 638-8000
Mailing address
801 ALBANY ST FL GROUND, BOSTON, MA 02119-2560
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
279504
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110154936A
—
MA
Enumeration date
05/10/2013
Last updated
11/15/2019
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