Healthcare Provider Details

I. General information

NPI: 1952379141
Provider Name (Legal Business Name): CHRISTOPHER JOSEPH BURNS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 PROSPECT ST UNIT 1
NANTUCKET MA
02554-4396
US

IV. Provider business mailing address

11804 HAYFIELD CT
POTOMAC MD
20854-2149
US

V. Phone/Fax

Practice location:
  • Phone: 508-825-1000
  • Fax:
Mailing address:
  • Phone: 312-933-3123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101239445
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number260405
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: