Individual
GEOFFREY M. BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 REECEVILLE RD, SUITE A, COATESVILLE, PA 19320-1572
(610) 269-9448
(610) 594-2625
Mailing address
412 CREAMERY WAY, SUITE 400, EXTON, PA 19341-2500
(610) 594-7590
(610) 594-2625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD020462E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000763617
—
PA
Enumeration date
03/17/2006
Last updated
07/21/2022
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