Provider Demographics
NPI:1467569541
Name:BURDETTE, TODD ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:ERIC
Last Name:BURDETTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:246 PLEASANT ST STE 210
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2548
Mailing Address - Country:US
Mailing Address - Phone:603-224-5200
Mailing Address - Fax:603-224-5091
Practice Address - Street 1:248 PLEASANT ST STE 201
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2588
Practice Address - Country:US
Practice Address - Phone:603-224-5200
Practice Address - Fax:603-224-5091
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2012-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH147512086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery