Individual
MR. CHRISTOPHER J BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 430, ANNAPOLIS, MD 21401-3046
(410) 266-2720
(410) 280-6515
Mailing address
PO BOX 64531, BALTIMORE, MD 21264-4531
(410) 280-6568
(410) 280-6515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002485
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3126475
AETNA HMO
—
01
—
487760200
FEDERAL WORKMANS COMP
—
01
—
7927475
AETNA
—
Enumeration date
07/14/2005
Last updated
11/24/2009
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