Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
B GEOFFREY BURNHAM, PA-C
ActiveB GEOFFREY BURNHAM, PA-C is a Physician Assistant healthcare provider located in EAST LYME, Connecticut. NPI 1235112418 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EAST LYME, CT
Registration Details
- NPI Number
- 1235112418
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2005 (20.761204647512 yrs)
- Last Updated
- Jul 8, 2007
- License
-
000080 (CT)
Practice Information
- Address
-
324 FLANDERS RDEAST LYME, CT, 063331735Browse CT providers · Browse ZIP 06333
- Phone
- 8607396953
- Fax
- 8607392523
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.