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Individual

CHRISTOPHER BURGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 777-7606
Mailing address
1851 WYE MILLS LN, BEL AIR, MD 21015-8302
(443) 752-3379

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/22/2019
Last updated
08/22/2019
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