MEDICARE: DR. RACHEL G BURGAN MD

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	208000000X	Pediatrics Physician	D0058921	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	876376	OTHER	OPT CHOICE SHARI COHEN
2	21378495	OTHER	CIGNA RACHEL BURGAN
3	4334238	OTHER	AETNA RONA STEIN
4	8127075	OTHER	OPT CHOICE RACHEL BURGAN
5	52896007	OTHER	BCBS MD SHARI COHEN
6	21378495	OTHER	CIGNA SHARI COHEN
7	6936	OTHER	AMERIGROUP RONA STEIN
8	2127075	OTHER	MAMSI RACHEL BURGAN
9	7561382	OTHER	AETNA RACHEL BURGAN
10	E6370004	OTHER	BLUE CHOICE RONA STEIN
11	235997	OTHER	AMERIGROUP RACHEL BURGAN
12	4348015	OTHER	AETNA SHARI COHEN
13	E6370006	OTHER	BLUE CHOICE RACHEL BURGAN
14	40303109	OTHER	BCBS MD RONA STEIN
15	E6370002	OTHER	BLUE CHOICE SHARI COHEN
16	21378495	OTHER	CIGNA RONA STEIN
17	274379	OTHER	MAMSI RONA STEIN
18	275376	OTHER	MAMSI SHARI COHEN
19	8128	OTHER	AMERIGROUP SHARI COHEN
20	874379	OTHER	OPT CHOICE RONA STEIN

General Provider Information

NPI Number	:	1629172143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHEL G BURGAN MD

Provider Business Mailing Address
First Line	:	2600 POT SPRING RD
Second Line	:	HEALTH OFFICE
City	:	TIMONIUM
State	:	MD
Zip	:	21093-2732
Country	:	US
Telephone Number	:	410-252-4000
Fax Number	:	410-252-0869

Provider Business Practice Location Address
First Line	:	2600 POT SPRING RD
Second Line	:	HEALTH OFFICE
City	:	TIMONIUM
State	:	MD
Zip	:	21093-2732
Country	:	US
Telephone Number	:	410-252-4000
Fax Number	:	410-252-0869

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	02/27/2012

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