Provider Demographics
NPI:1770533788
Name:BURR, ROBERT E (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:BURR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1527
Mailing Address - Street 2:
Mailing Address - City:NORTH FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02556-1527
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1400 RT 28A
Practice Address - Street 2:
Practice Address - City:CATAUMET
Practice Address - State:MA
Practice Address - Zip Code:02534-1080
Practice Address - Country:US
Practice Address - Phone:508-374-9803
Practice Address - Fax:508-796-2168
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA43132207RE0101X, 207RE0101X
UT58355621205207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTC44879Medicare UPIN
UT000058127Medicare ID - Type Unspecified