Individual
DR. NELSON H BURBANO VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BADER 3, BCH 3216, BOSTON, MA 02115-5724
(617) 560-8469
Mailing address
94 GRIGGS RD APT 21, BROOKLINE, MA 02446-4720
(412) 680-8611
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
266325
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2011
Last updated
05/05/2017
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