Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | D0075062 | MD |
Y | 2084N0402X | Child Neurologist | D0075062 | MD |
NPI | 1144489345 |
---|---|
Provider Name | Vera Joanna Burton |
First Address | Baltimore, MD 21205-1832 |
Second Address | Baltimore, MD 21205-1424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2008 |
Last Update Date | 04/05/2017 |