Individual
DR. EMILIE CLAIRE BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(504) 568-5600
Mailing address
2846 GRAND RTE SAINT JOHN ST APT 1/2, NEW ORLEANS, LA 70119-3079
(504) 432-1903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
79375
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
03/30/2021
Last updated
10/18/2024
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