SearchConnecticutSurgical Physician Assistant

Justin Bourque, PA-C

NPI 1649089087 · on the registry since 2024

Practice

Address
1 Hospital Plz
Stamford, CT 06902
Phone
(203) 279-7022
Fax
(203) 276-5560
Organisation at this address
Walgreen Co
Stamford Hospital
Stamford Hospital
Hematology Oncology Pc
Harbor Point Anesthesia Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
267

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-07

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