Provider Demographics
NPI:1245563964
Name:BURGOS, MADELINE DONATO (APRN-BC)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:DONATO
Last Name:BURGOS
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HYGEIA DR
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4701 OGLETOWN STANTON RD STE 2335
Practice Address - Street 2:HELEN F. GRAHAM CANCER CENTER WEST
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-7016
Practice Address - Country:US
Practice Address - Phone:302-623-4285
Practice Address - Fax:302-623-4155
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEAPN-0001550363LW0102X
DELH-0000191363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health