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Individual

JOHN WILLIAM BURRESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
850 HARRISON AVE, YACC 4, BOSTON, MA 02118-4001
(617) 414-2080
(617) 414-2090
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75679
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110055304A
MA
Enumeration date
03/28/2007
Last updated
08/07/2014
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