NPI 1073662482 · live from the CMS NPI Registry
Jeremy Gordon Burke, M.D.
Anesthesiology in Norwich, CT. National Provider Identifier 1073662482, active.
NPI record
| NPI | 1073662482 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 326 Washington St, Department Of Anesthesiology, Norwich, CT 06360 |
| Practice phone | 860-889-8331 |
| Mailing address | 365 Montauk Ave, New London, CT 06320 |
| Enumerated | January 9, 2007 |
| Last updated | January 31, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 051523 (CT) |
| Anesthesiology | 207L00000X | 51523 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.