Healthcare Provider Details

I. General information

NPI: 1972539559
Provider Name (Legal Business Name): FRANCES L. BURGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ELM SQ
ANDOVER MA
01810-3643
US

IV. Provider business mailing address

1 ELM SQ
ANDOVER MA
01810-3643
US

V. Phone/Fax

Practice location:
  • Phone: 978-470-0520
  • Fax: 978-475-1181
Mailing address:
  • Phone: 978-470-0520
  • Fax: 978-475-1181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number203669
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: