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Contact Information

GENY B BURGOS, MD
123 S COMMERCE ST
STE E
STOCKTON, CA95202
 Phone: 209-939-9512
 Fax: 209-939-1226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GENY B BURGOS · (Female)

NPI Number 1962473983
Status Active
Credentials MD
Entity Individual
Enumeration date 01/28/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A53610
  • CA Medicaid 00A536100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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