SearchConnecticutCounselor

Ethan Bourque

NPI 1376321000 · on the registry since 2023 · sole proprietor

Practice

Address
396 Danbury Rd Ste 2a
Wilton, CT 06897
Phone
(203) 202-7654
Organisation at this address
Wilton Ob/Gyn, Llc
Dynamic Edge Physiotherapy Llc
Dermatology Institute & Wellness Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
Counselor
101Y00000X
Sex
Male
Record last updated
2023-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut