Individual
JAMES RANDALL BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 PARK ROW STE 11, BRUNSWICK, ME 04011-2039
(207) 522-4376
(207) 725-2473
Mailing address
169 PARK ROW STE 11, BRUNSWICK, ME 04011-2039
(207) 522-4376
(207) 725-2473
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
014300
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334240099
—
ME
Enumeration date
08/12/2006
Last updated
03/30/2017
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