Individual
DR. MELISSA MAE BURNETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 6800, BOSTON, MA 02114-2621
(617) 726-2730
(617) 724-3948
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
220548
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2087081
—
MA
01
—
469653
TUFTS HEALTH PLAN
MA
01
—
J28205
BCBS MA
MA
Enumeration date
11/11/2005
Last updated
07/08/2007
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