Individual
KALA MARIE FRYE BOURQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
759 CHESTNUT STREET, # S6538, SPRINGFIELD, MA 01107-1619
(413) 794-3233
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
1022677
MA
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
MD210002004
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
06/05/2025
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