Individual
DR. JEAN ROSENTHAL BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1826 ARTHUR AVE, 2ND FLOOR, BRONX, NY 10457-6601
(718) 918-8750
Mailing address
2727 PALISADE AVE, APT. 10-J, BRONX, NY 10463-1018
(718) 549-5717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
187795
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01375213
—
NY
Enumeration date
10/20/2006
Last updated
07/08/2007
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