STEPHEN BOURGAULT, O.D.
Optometrist
Active
Individual
NPI: 1407849029
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 2887 (MA) |
Frequently Asked Questions
NPI 1407849029 is the National Provider Identifier for STEPHEN BOURGAULT, O.D., a Optometrist provider located in Fitchburg, MA. This NPI was enumerated on August 30, 2005.
STEPHEN BOURGAULT, O.D. practices at 61 FOX ST, Fitchburg, MA 01420.
Quick Facts
- NPI
- 1407849029
- Type
- Individual
- Enumerated
- Aug 30, 2005
- Last Updated
- Jul 8, 2007
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