Individual
SCOTT VASSAR BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 KINGS WAY, SUITE 3200, WILLIAMSBURG, VA 23185-2505
(757) 253-0051
(757) 229-9526
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101238311
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609854835
—
VA
Enumeration date
01/06/2006
Last updated
09/30/2013
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