Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlin M Bourdeau, PA

Individual provider Physician Assistant · NPI 1780236489

Kaitlin M Bourdeau, PA is a Physician Assistant in Bloomfield, New Jersey. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1255 Broad St Ste 201A
Bloomfield, NJ 07003-3061
Phone: (973) 842-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00528000

Record details

NPI number1780236489
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 12, 2019
Last updated in NPPESJuly 18, 2019

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