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NPI Profile for JOSEPH G BOUSCAREN in CAMBRIDGE, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sports Medicine |
2084S0010X | 86 | Physician/Neuropsychiatry |
| NPI Number | 1174648000 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 03/20/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JOSEPH G BOUSCAREN
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JOSEPH G BOUSCAREN, MD