THOMAS M BURGGMAN


Address: 5602 Baltimore National Pike, Suite 508, Baltimore, MD 21228-1411
Phone: 4107449100

THOMAS M BURGGMAN (NPI# 1235304189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235304189
Entity Type Individual
Full Name THOMAS M BURGGMAN
Credential LCPC
Practice Address 5602 Baltimore National Pike
Suite 508
Baltimore
MD 21228-1411
Practice Telephone 4107449100
Practice Fax Number 4107470226
Mailing Telephone 4107449100
Mailing Fax Number 4107470226
Enumeration Date 2008-04-22
Last Update Date 2008-04-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0606 MD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 403344200 05
MD 401254200 05

Office Location

Street Address 5602 BALTIMORE NATIONAL PIKE
SUITE 508
City BALTIMORE
State MD
Zip Code 21228-1411

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1023218997 Delores Ann Mack Social Worker 5602 Baltimore National Pike, Suit # 506, Baltimore, MD 21228-1411 2007-07-19
1447474366 Theresa Marlene Ridley Social Worker 5602 Baltimore National Pike, Baltimore, MD 21228 2007-04-12
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21228

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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