Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 25MA09294700 | NJ |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | P2601 | TX |
N | 207YS0123X | Facial Plastic Surgeon | P2601 | TX |
NPI | 1164681524 |
---|---|
Provider Name | Dr. David Harris Burstein |
First Address | Houston, TX 77030-1312 |
Second Address | Berkeley Heights, NJ 07922-2104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 15/01/2018 |