Healthcare Provider Details

I. General information

NPI: 1790750149
Provider Name (Legal Business Name): KATHLEEN M BURGER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 07/21/2022
Certification Date: 08/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PENNSYLVANIA AVE NW 7TH FLOOR
WASHINGTON DC
20037-3201
US

IV. Provider business mailing address

2150 PENNSYLVANIA AVE NW 7TH FLOOR
WASHINGTON DC
20037-3201
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-2700
  • Fax:
Mailing address:
  • Phone: 202-741-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberDO034195
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: