Provider Demographics
NPI:1447251681
Name:BURGER, HAROLD A (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:A
Last Name:BURGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10535 HOSPITAL WAY
Mailing Address - Street 2:MATHER VA HOSPITAL
Mailing Address - City:MATHER
Mailing Address - State:CA
Mailing Address - Zip Code:95655
Mailing Address - Country:US
Mailing Address - Phone:916-843-7000
Mailing Address - Fax:916-843-9441
Practice Address - Street 1:10535 HOSPITAL WAY
Practice Address - Street 2:MATHER VA HOSPITAL
Practice Address - City:MATHER
Practice Address - State:CA
Practice Address - Zip Code:95655
Practice Address - Country:US
Practice Address - Phone:916-843-7000
Practice Address - Fax:916-843-9441
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY141088-1207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00889634Medicaid
NY36183FMedicare ID - Type Unspecified
NY00889634Medicaid