Individual
DR. JENNIFER MARGARET BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
887 CONGRESS ST, PORTLAND, ME 04102-3100
(207) 774-6368
Mailing address
100 CAMPUS DR UNIT 121, SCARBOROUGH, ME 04074-7172
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA10877600
NJ
208600000X
Surgery Physician
Primary
MD26022
ME
390200000X
Student in an Organized Health Care Education/Training Program
4301114586
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2012
Last updated
10/17/2022
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