Bourdeau, Bryan Thomas

Bourdeau, Bryan Thomas is an individual health care provider with primary practice located at 330 Brookline Ave , Boston MA 02215-5491. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bourdeau, Bryan Thomas can be contacted via phone (617) 667-7000.

Contact Information

Primary practice address
330 Brookline Ave Boston MA 02215-5491
Phone: (617) 667-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 276390 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 286471 Massachusetts

Profile Details

NPI number 1750876991
LBN Legal business name Bourdeau, Bryan Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2018
Last updated Apr 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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