Burgess, David B
Burgess, David B is an individual health care provider with primary practice located at 4009 Black Horse Pike Chop Care Network At Atlantic County Sc, Mays Landing NJ 08330-3133. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Burgess, David B can be contacted via phone (609) 677-7895.Contact Information
Primary practice address
4009 Black Horse Pike Chop Care Network At Atlantic County Sc
Mays Landing NJ 08330-3133
Phone: (609) 677-7895
Fax: (609) 677-7835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA06587600 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD062249L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 25MA06587600 | New Jersey |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | MD062249L | Pennsylvania |
Profile Details
| NPI number | 1215946215 |
|---|---|
| LBN Legal business name | Burgess, David B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Dec 3rd, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215946215 | NPPES |
| Pennsylvania | MEDICAID | 0016545000004 | |
| Pennsylvania | MEDICAID | 7313501 |
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