Individual
GEORGE BOURGANOS
Active
Individual
GEORGE BOURGANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD10285
RI
207RC0000X
Cardiovascular Disease Physician
Primary
MD10285
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7008247
—
RI
Enumeration date
07/07/2005
Last updated
01/20/2009
Update your record
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