Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 6894 | NH |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 6894 | NH |
NPI | 1285654368 |
---|---|
Provider Name | Dr. Sanders F Burstein |
First Address | Milford, NH 03055-3405 |
Second Address | Milford, NH 03055-3405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 21/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00000024 | (05) | NH |
E16683 | (02) |