Individual
ROSELLA O. BURGDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
24 GLOUCESTER ROAD, UVA STUARTS DRAFT FAMILY PRACTICE, STUARTS DRAFT, VA 24477
(540) 337-3710
(570) 337-0930
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0001049059
VA
207Q00000X
Family Medicine Physician
0024049059
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010229120
—
VA
Enumeration date
07/20/2006
Last updated
02/19/2010
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