Individual
DR. CAROL J BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 HOSPITAL DR, BENNINGTON, VT 05201-5004
(802) 442-6361
Mailing address
1444 WESTERN AVE, SUITE B-1, ALBANY, NY 12203-3462
(518) 458-2611
(518) 489-1914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
159113
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01698026
—
NY
Enumeration date
09/22/2005
Last updated
11/10/2022
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