Burke, Jeremy Gordon

Burke, Jeremy Gordon is an individual health care provider with primary practice located at 326 Washington St Department Of Anesthesiology, Norwich CT 06360-2740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Burke, Jeremy Gordon can be contacted via phone (860) 889-8331.

Contact Information

Primary practice address
326 Washington St Department Of Anesthesiology Norwich CT 06360-2740
Phone: (860) 889-8331
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 051523 Connecticut
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 51523 Connecticut

Profile Details

NPI number 1073662482
LBN Legal business name Burke, Jeremy Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jan 31st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073662482 NPPES
Connecticut MEDICAID 1073662482

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