Provider Demographics
NPI:1295738714
Name:BURGER, STEVEN A (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:BURGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2101 MEDICAL PARK DR
Mailing Address - Street 2:STE 211
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4053
Mailing Address - Country:US
Mailing Address - Phone:301-681-7800
Mailing Address - Fax:301-681-8906
Practice Address - Street 1:2101 MEDICAL PARK DR
Practice Address - Street 2:STE 211
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4053
Practice Address - Country:US
Practice Address - Phone:301-681-7800
Practice Address - Fax:301-681-8906
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-30
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD21931207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4050969OtherAETNA
MD188051900Medicaid
MD1703SAOtherBC/BS OF MD
MDA445-0001OtherBC/BS OF DC
MD496095OtherNCPPO
MD21038OtherMAMSI
MD4050969OtherAETNA
MDC62021Medicare UPIN