National Provider Identifier Database

ANITA L BOURQUE, MD – NPI #1730166109
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

ANITA L BOURQUE, MD
100 GRAND ST
NEW BRITAIN, CT06052-2016
Phone: 860-224-5556
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for ANITA L BOURQUE

NPI Number 1730166109
Credentials MD
Entity Individual
Enumeration date 12/28/2005
Last updated 06/22/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 029902
  • CT Medicaid: 001299024
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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