NPI 1649931395
Dermeline Bourciquot
Practice location
- Address
- 280 Bridge St STE 110, Dedham, MA 02026-1759
- Phone
- (781) 326-4207
- Mailing address
- 23 Cypress Rd, Medford, MA 02155-2505
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1649931395
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Jan 2022
- Record last updated
- 5 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.