Randall Burd
Pediatric Surgery
125 Paterson St Clinical Academic Building - Suite 4100
New Brunswick
, New Jersey 08901-1962
Randall Burd
Pediatric Surgery
125 Paterson St Clinical Academic Building - Suite 4100
New Brunswick
, New Jersey 08901-1962
(732) 212-0713
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Randall Burd
- 66 W Gilbert St 2nd Floor
- Tinton Falls, NJ
- Zip : 07701-4947
- Fax : (732) 212-0713
- Phone : (732) 212-0051
Second Address
- Randall Burd
- 125 Paterson St Clinical Academic Building - Suite 4100
- New Brunswick, NJ
- Zip : 08901-1962
- Phone : (732) 235-7821
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | MA72190 | NJ |
National Provider Identifier
| NPI | 1255400099 |
|---|---|
| Provider Name | Randall Burd |
| First Address | Tinton Falls, NJ 07701-4947 |
| Second Address | New Brunswick, NJ 08901-1962 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2006 |
| Last Update Date | 05/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G53060 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.