Burton, Gary Brandon

Burton, Gary Brandon is an sole proprietor health care provider with primary practice located at 4000 Mitchellville Rd 306, Bowie MD 20716-3104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Burton, Gary Brandon can be contacted via phone (301) 441-3375.

Contact Information

Primary practice address
4000 Mitchellville Rd 306 Bowie MD 20716-3104
Phone: (301) 441-3375
Fax: (301) 441-4711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X D0052974 Maryland

Profile Details

NPI number 1871717603
LBN Legal business name Burton, Gary Brandon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Sep 25th, 2009 - about 16 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 1871717603 NPPES
Maryland MEDICAID 014200000

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