IndividualActive
Andrew Burt, M.D.
NPI 1124147368 · Legal Medicine · San Rafael, CA
Provider details
- NPI number
- 1124147368
- Entity type
- Individual
- Primary specialty
- Legal MedicineOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- C383160 (CA)
Practice location
77 Mark Dr Ste 25
San Rafael, CA 94903-2268
Phone: (415) 491-1492
Fax: (415) 419-1499
Mailing address
77 Mark Dr Ste 25
San Rafael, CA 94903-2268
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.