Organization
RENEE BURDETT, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
V RENEE BURDETT MD (MEDICAL DIRECTOR CEO)
(703) 670-5738
Entity
Organization
Contact information
Practice address
13649 OFFICE PLACE, SUITE 102, WOODBRIDGE, VA 22192
(703) 670-5738
(703) 670-8213
Mailing address
13649 OFFICE PLACE, SUITE 102, WOODBRIDGE, VA 22192
(703) 670-5738
(703) 670-8213
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
02/03/2020
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