Wallace Bourgeois, M.D. is a pediatric hematology-oncology pediatrics in Boston, MA. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Wallace Bourgeois, M.D. NPI is 1811317209. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
450 BROOKLINE AVE
BOSTON, MA
ZIP 02215-418
Phone: (617) 632-2423
The NPI 1811317209 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/24/2014 and was last updated on 2/22/2021.