Burgess, Geoffrey M.

Burgess, Geoffrey M. is an individual health care provider with primary practice located at 217 Reeceville Rd Suite A, Coatesville PA 19320-1572. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Burgess, Geoffrey M. can be contacted via phone (610) 269-9448.

Contact Information

Primary practice address
217 Reeceville Rd Suite A Coatesville PA 19320-1572
Fax: (610) 594-2625
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD020462E Pennsylvania

Profile Details

NPI number 1497714638
LBN Legal business name Burgess, Geoffrey M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497714638 NPPES
Pennsylvania MEDICAID 000763617

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