Burnham, Alisa

Burnham, Alisa is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Neonatology, Philadelphia PA 19104-4319. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Burnham, Alisa can be contacted via phone (215) 590-1944.

Contact Information

Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Neonatology Philadelphia PA 19104-4319
Phone: (215) 590-1944
Fax: (215) 590-4454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD068633L Pennsylvania
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD068633L Pennsylvania

Profile Details

NPI number 1134164643
LBN Legal business name Burnham, Alisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated May 15th, 2013 - about 11 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 1134164643 NPPES
New Jersey MEDICAID 0084620
New Jersey MEDICAID 101449252

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