MEDICARE: GERALD F. BURNS, M.D., APMC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MD010350	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5CB87	OTHER	LA	MEDICARE ID

General Provider Information

NPI Number	:	1225206287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GERALD F. BURNS, M.D., APMC

Provider Business Mailing Address
First Line	:	PO BOX 19004
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70179-0004
Country	:	US
Telephone Number	:	504-483-8909
Fax Number	:	504-483-2221

Provider Business Practice Location Address
First Line	:	4022 CANAL ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-6021
Country	:	US
Telephone Number	:	504-483-8909
Fax Number	:	504-483-2221

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. GERALD F BURNS
Credential	:	M.D.
Telephone Number	:	504-483-8909

Provider Enumeration Date	:	02/13/2008
Last Update Date	:	02/13/2008

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