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Individual

DAVID B BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4009 BLACK HORSE PIKE, CHOP CARE NETWORK AT ATLANTIC COUNTY SC, MAYS LANDING, NJ 08330-3133
(609) 677-7895
(609) 677-7835
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9234
(267) 425-9299

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA06587600
NJ
208000000X
Pediatrics Physician
MD062249L
PA
2080P0006X
Developmental - Behavioral Pediatrics Physician
25MA06587600
NJ
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD062249L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016545000004
PA
05
7313501
NJ
Enumeration date
08/07/2006
Last updated
12/03/2018
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