Individual
DR. FABIENNE CATYA BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, S50 - 901, BOSTON, MA 02114-2621
(617) 724-1103
(978) 745-9024
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
222023
MA
Other
Enumeration date
11/03/2005
Last updated
07/08/2007
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