National Provider Identifier
Marissa Janel Burg, M.D.
Marissa Janel Burg, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Williamsville, NY and a listed phone number of (716) 632-8050.
Profile Overview
- NPI
- 1134487473
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- April 24, 2012
- Last Updated
- May 02, 2017
Practice Location
- 25 Hopkins RD
- Williamsville, NY 14221-4641
Phone: (716) 632-8050
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1134487473
- Entity Type
- Individual
- Last Name
- Burg
- First Name
- Marissa
- Middle Name
- Janel
- Credential
- M.D.
- Mailing Street Address
- 25 Hopkins RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-4641
- Mailing Country
- US
- Mailing Phone
- (716) 632-8050
- Mailing Fax
- (716) 632-2297
- Practice Street Address
- 25 Hopkins RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-4641
- Practice Country
- US
- Practice Phone
- (716) 632-8050
- Practice Fax
- (716) 632-2297
- Enumeration Date
- April 24, 2012
- Last Updated
- May 02, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 04239176 (NY)