Individual
JEFFREY B BURL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 595-2000
(508) 853-7149
Mailing address
630 PLANTATION ST, WOT 12TH FLOOR ATTN. PHYSICIAN SERVICES, WORCESTER, MA 01605
(508) 595-2000
(508) 853-7149
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
43815
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400884
EVERCARE
—
01
—
2097559
MEDICAID WELFARE
—
05
—
2097559
—
MA
01
—
4580406
AETNA US HEALTHCARE
—
01
—
5952616
CIGNA HEALTH PLAN
—
01
—
9900150
FALLON COMMUNITY HLTH PLN
—
01
—
AA2837
HARVARD PILGRIM HEALTHCRE
—
01
—
E38004
MEDICARE B
—
Enumeration date
02/17/2006
Last updated
07/08/2007
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