Individual
GEORGE BOURGANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
68 CUMBERLAND ST, SUITE 103, WOONSOCKET, RI 02895-3323
(401) 762-3838
(401) 762-8252
Mailing address
68 CUMBERLAND ST, SUITE 103, WOONSOCKET, RI 02895-3323
(401) 762-3838
(401) 762-8252
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
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