Individual
HEATHER J BURGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD134145
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110192867
RAILRAOD MEDICARE
—
05
—
134145
—
OR
01
—
CS4159
RAILRAOD MEDICARE GROUP
—
Enumeration date
06/07/2006
Last updated
06/04/2010
Update your record
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