Individual
CHRISTOPHER BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5440
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5440
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101262866
VA
208000000X
Pediatrics Physician
0101262866
VA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
CLP05904
RI
Other
Enumeration date
04/25/2016
Last updated
01/18/2024
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