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Individual
DONALD R BURGESS
Active
Individual
DONALD R BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
014097
ME
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
014097
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018435
ANTHEM
ME
01
—
1041865
AETNA
ME
05
—
248080099
—
ME
05
—
30208022
—
NH
01
—
610036401
CIGNA
ME
01
—
MNT053
HARVARD PILGRIM
ME
Enumeration date
04/05/2006
Last updated
08/09/2022
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