Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 239414 | MA |
NPI | 1578619250 |
---|---|
Provider Name | Lindsey Christine Burghardt |
First Address | Braintree, MA 02184-2401 |
Second Address | Braintree, MA 02184-2401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 16/09/2014 |