Individual
LISA BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
Mailing address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-7043
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
037140
CT
207L00000X
Anesthesiology Physician
25MA06502400
NJ
Other
Enumeration date
07/20/2006
Last updated
08/14/2024
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