Individual
RICHARD MICHAEL BURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 MAPLE AVE, SUITE C, 4TH FLOOR, WHITE PLAINS, NY 10601-4710
(914) 949-0760
(914) 681-0039
Mailing address
170 MAPLE AVE, SUITE C, 4TH FLOOR, WHITE PLAINS, NY 10601-4710
(914) 949-0760
(914) 681-0039
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
111819
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00325535
—
NY
01
—
4203251
AETNA
NY
01
—
624031
BCBS
NY
01
—
714935
UNITEDHEALTHCARE
NY
01
—
9563949007
CIGNA
NY
01
—
WP0016
HEALTHNET
NY
01
—
WS864
OXFORD
NY
Enumeration date
10/10/2006
Last updated
01/05/2017
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