Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 11265 | NH |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 25MA11079200 | NJ |
NPI | 1407847486 |
---|---|
Provider Name | Emily A. Burns |
First Address | Mount Laurel, NJ 08054-1108 |
Second Address | Mount Laurel, NJ 08054-1108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 15/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
011265 | TUFTS PIN (01) | NH |
0140944 | UHC PIN (01) | NH |
01YP03153NH01 | ANTHEM ACES PIN (01) | NH |
2575709 | AETNA PIN (01) | NH |
30201483 | (05) | NH |
544992 | CIGNA PIN (01) | NH |
990015541 | RR MEDICARE PIN (01) | |
H03709 | (02) | |
H03709 | ANTHEM REFERRING UPIN (01) | NH |
NH2109 | HPHC PIN (01) | NH |