Healthcare Provider Details

I. General information

NPI: 1841494440
Provider Name (Legal Business Name): SEAN THOMAS BURNS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 01/29/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

264 PLEASANT STREET CONCORD ORTHOPAEDICS, P.A.
CONCORD NH
03301
US

IV. Provider business mailing address

264 PLEASANT STREET CONCORD ORTHOPAEDICS, P.A.
CONCORD NH
03301
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-3368
  • Fax: 603-224-7815
Mailing address:
  • Phone: 603-224-3368
  • Fax: 603-224-7815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number15618
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number15618
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: