Dr. Andrea L Burgo-Black, MD
Internal Medicine in West Haven, Connecticut
1396843231- Practice location
- 950 Campbell Ave, Vact Healthcare System, West Haven, CT 06516-2770
- Phone
- 203-932-5711
- Fax
- 203-937-3403
- Last updated
- July 8, 2007
Andrea Lucile Burgo-Black is an Internal Medicine based in West Haven, CT. Andrea Lucile Burgo-Black practices in West Haven, CT and has the professional credentials of MD. The NPI Number for Andrea Lucile Burgo-Black is 1396843231 and holds a License No. 025451 (CT). The current practice location address for Andrea Lucile Burgo-Black is 950 Campbell Ave, Vact Healthcare System, West Haven, CT 06516-2770 and can be reached out via phone at 203-932-5711 and via fax at 203-937-3403.
Provider Profile Details
- NPI Number
- 1396843231
- Provider Name
- Andrea Lucile Burgo-Black
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 950 Campbell Ave, Vact Healthcare System, West Haven, CT 06516-2770
- Phone Number
- 203-932-5711
- Fax Number
- 203-937-3403
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Other Names
- Dr. Andrea Lucile Burgo, MD (Professional Name)
- Provider Enumeration Date
- September 21, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 950 Campbell Ave
Vact Healthcare System
West Haven, CT 06516-2770 - City
- West Haven
- State
- Connecticut
- Zip
- 06516-2770
- Phone Number
- 203-932-5711
- Fax Number
- 203-937-3403
Provider Business Mailing Address Details
- Address
- 20 Kenter Pl
New Haven, CT 06515-2412 - City
- New Haven
- State
- CT
- Zip
- 06515-2412
- Phone Number
- 203-389-6335
License Information
- License Number
- 025451
- License State
- CT
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Andrea L Burgo-Black, MD?
The NPI number of Dr. Andrea L Burgo-Black, MD is 1396843231. It was assigned on September 21, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Andrea L Burgo-Black, MD?
Dr. Andrea L Burgo-Black, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 025451.
Where does Dr. Andrea L Burgo-Black, MD practice?
The practice location is 950 Campbell Ave, Vact Healthcare System, West Haven, CT 06516-2770. The office can be reached at 203-932-5711 (phone) or 203-937-3403 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396843231 directly on the NPPES registry website.