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Atnhony Ernest Burgos

Pediatrics

Allopathic & Osteopathic Physicians

750 Welch Rd, Suite 325, Palo Alto, CA 94304-1507

PECOS Enrollment

This provider is enrolled in PECOS as ANTHONY BURGOS.

Based on the most recent information from CMS, provider Atnhony Ernest Burgos is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1033261524
Provider Type
Individual
Full Name
Burgos, Atnhony Ernest
Title
Dr.
Credential
MD, MPH

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/17/2007
Last Updated
10/18/2021

Contact Information

Practice Location

750 Welch Rd, Suite 325, Palo Alto, CA 94304-1507

(650) 725-8314

Unlisted Fax

Mailing Location

750 Welch Rd, Suite 325, Palo Alto, CA 94304-1507

(650) 725-8314

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License G080458 California

Atnhony Ernest Burgos

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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