Provider Demographics
NPI:1083880421
Name:BOURJI-TOUMA, JOCELYNE F (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOCELYNE
Middle Name:F
Last Name:BOURJI-TOUMA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-6115
Mailing Address - Country:US
Mailing Address - Phone:508-873-0323
Mailing Address - Fax:978-688-4949
Practice Address - Street 1:126A PLEASANT VALLEY ST STE 4
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-7217
Practice Address - Country:US
Practice Address - Phone:978-688-9200
Practice Address - Fax:978-688-4949
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA213501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice