Burtis, William Judson

Burtis, William Judson is an sole proprietor health care provider with primary practice located at 747 Main St Suite 123, Concord MA 01742-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Burtis, William Judson can be contacted via phone (978) 287-9590.

Contact Information

Primary practice address
747 Main St Suite 123 Concord MA 01742-3328
Phone: (978) 287-9590
Fax: (978) 287-5700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 150123 Massachusetts

Profile Details

NPI number 1023009990
LBN Legal business name Burtis, William Judson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Apr 13th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023009990 NPPES
Massachusetts MEDICAID 3148718

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