Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 0102203091 | VA |
N | 208000000X | Pediatrician | 0102203091 | VA |
Y | 2080P0204X | Pediatric Emergency Doctor | 0102203091 | VA |
NPI | 1114156155 |
---|---|
Provider Name | Dr. James Edward Burhop JR. |
First Address | Baltimore, MD 21279-0137 |
Second Address | Norfolk, VA 23507-1910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2009 |
Last Update Date | 04/06/2020 |