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Contact Information

DOUGLAS M BOURQUE, MD
3509 EASTERN AVE
BALTIMORE, MD21224
 Phone: 410-558-4900
 Fax: 410-522-1475
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for DOUGLAS M BOURQUE · (Male)

NPI # 1427054907
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2005
Last updated 03/28/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 030359
Hospital affiliation(s)
  • JOHNS HOPKINS BAYVIEW MEDICAL CENTER - (Acute Care)
    4940 EASTERN AVENUE
    BALTIMORE, MD 21224
  • JOHNS HOPKINS HOSPITAL THE - (Acute Care)
    600 NORTH WOLFE STREET
    BALTIMORE, MD 21287
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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