Individual
DR. GILBERT MIRACLE BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 N WOLFE ST # E8132, BALTIMORE, MD 21205-2103
(410) 955-7934
(410) 614-1419
Mailing address
615 N WOLFE ST # E8132, BALTIMORE, MD 21205-2103
(410) 955-7934
(410) 614-1419
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
42935
MD
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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