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Contact Information

KALA M FRYE BOURQUE, MD
759 CHESTNUT STREET
# S6538
SPRINGFIELD, MA01107-1619
 Phone: 413-794-3233
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KALA M FRYE BOURQUE · (Female)

NPI Number 1447719596
Status Active
Credentials MD
Entity Individual
Enumeration date 03/18/2019
Last updated 06/05/2025 - About 12 months ago
Sole proprietor 1 Yes
Identifiers
  • DC License # MD210002004
  • MA License # 1022677
Hospital affiliation(s) Not Available
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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