Individual
DANIEL C. BURNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5275
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 421-2508
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
38656
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014515
NEIGHBORHOOD HEALTH PLAN
MA
01
—
038656
TUFTS HEALTH PLAN
MA
05
—
3183815
—
MA
01
—
5565618-001
CIGNA
MA
01
—
C05113
BLUE CROSS
MA
01
—
PD124
HARVARD PILGRIM
MA
Enumeration date
08/30/2006
Last updated
05/31/2011
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