Individual
JONATHAN DAVID BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, GME OFFICE, BURLINGTON, VT 05401
(802) 847-0000
Mailing address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042-0016361
VT
2084P0800X
Psychiatry Physician
A195047
CA
Other
Enumeration date
04/08/2019
Last updated
05/02/2025
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