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Individual
JENNIFER KELLY BURZAWA
Active
Individual
JENNIFER KELLY BURZAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD60908012
WA
207VX0201X
Gynecologic Oncology Physician
Primary
MD60908012
WA
207VX0201X
Gynecologic Oncology Physician
N3525
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2122633
—
WA
05
—
213503001
—
TX
Enumeration date
03/02/2010
Last updated
08/17/2021
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