Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | 25MA05685300 | NJ |
Y | 2086S0127X | Trauma Surgeon | MD038853E | PA |
NPI | 1093805855 |
---|---|
Provider Name | Richard K Burns |
First Address | Egg Harbor Township, NJ 08234-5549 |
Second Address | Atlantic City, NJ 08401-6713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 02/09/2021 |