Provider Demographics
NPI:1174766869
Name:BURGESS, TIMOTHY H (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:H
Last Name:BURGESS
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 ROBERT GRANT AVE
Mailing Address - Street 2:NMRC / IDD / VRDD
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-7500
Mailing Address - Country:US
Mailing Address - Phone:301-319-7556
Mailing Address - Fax:301-319-7451
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:NNMC
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-319-7556
Practice Address - Fax:301-319-7451
Is Sole Proprietor?:No
Enumeration Date:2009-04-11
Last Update Date:2009-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01044600207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine