KEITH C. BURGESS

BALTIMORE, MD
NPI1558309062
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C01300)
Enumeration Date2006-06-04
Last Update Date2007-07-11
Business Address
-- KEITH C. BURGESS PA
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239-2905
Phone number: 410-532-4040
Mailing Address
-- KEITH C. BURGESS PA
307 S EVERGREEN AVE
WOODBURY, NJ 08096-2739
Phone number: 856-686-4300
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