Individual
DR. ROBERT JUSTIN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 AMSTERDAM AVE., NEW YORK, NY 10025
(212) 523-4699
(212) 523-5379
Mailing address
1780 BROADWAY, 1100, NEW YORK, NY 10019
(212) 590-2930
(212) 590-2982
Taxonomy
Speciality
Code
Description
License number
State
2085R0205X
Radiological Physics Physician
Primary
178614
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01424648
—
NY
Enumeration date
07/05/2006
Last updated
07/08/2007
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