Healthcare Provider Details
I. General information
NPI: 1841574985
Provider Name (Legal Business Name): STEVEN A BURGER MD PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/07/2011
Last Update Date: 10/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2101 MEDICAL PARK DR SUITE 211
SILVER SPRING MD
20902-4083
US
IV. Provider business mailing address
2101 MEDICAL PARK DR SUITE 211
SILVER SPRING MD
20902-4083
US
V. Phone/Fax
- Phone: 301-681-7800
- Fax: 301-681-8906
- Phone: 301-681-7800
- Fax: 301-681-8906
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | D0021931 |
| License Number State | MD |
VIII. Authorized Official
Name: DR.
STEVEN
ARTHUR
BURGER
Title or Position: PRESIDENT
Credential: MD
Phone: 301-681-7800