Healthcare Provider Details

I. General information

NPI: 1205840444
Provider Name (Legal Business Name): WHITNEY BURROWS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 SEYMOUR ST STE 227
HARTFORD CT
06106-5501
US

IV. Provider business mailing address

3500 N BROAD STREET 001A
PHILADELPHIA PA
19140-4106
US

V. Phone/Fax

Practice location:
  • Phone: 860-696-4306
  • Fax: 860-696-5140
Mailing address:
  • Phone: 215-728-6900
  • Fax: 215-728-2773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberD0057767
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberMD479514
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberD57767
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number83125
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: