Burl, Jeffrey B
Burl, Jeffrey B is an individual health care provider with primary practice located at 630 Plantation St , Worcester MA 01605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Burl, Jeffrey B can be contacted via phone (508) 595-2000.Contact Information
Primary practice address
630 Plantation St
Worcester MA 01605
Phone: (508) 595-2000
Fax: (508) 853-7149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 43815 | Massachusetts |
Profile Details
| NPI number | 1699749309 |
|---|---|
| LBN Legal business name | Burl, Jeffrey B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699749309 | NPPES |
| Other | 9900150 | FALLON COMMUNITY HLTH PLN | |
| Other | E38004 | FALLON COMMUNITY HLTH PLN | |
| Other | 0400884 | FALLON COMMUNITY HLTH PLN | |
| Other | 4580406 | FALLON COMMUNITY HLTH PLN | |
| MEDICAID | 2097559 | FALLON COMMUNITY HLTH PLN | |
| Other | 5952616 | FALLON COMMUNITY HLTH PLN | |
| Other | AA2837 | FALLON COMMUNITY HLTH PLN | |
| Other | 2097559 | FALLON COMMUNITY HLTH PLN |
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