John Peter Burghardt JR. DPM

NPI 1003817024 - Podiatrist - 213E00000X

NPI Details
NPI 1003817024
Gender Male
Enumeration Date 08/02/2005
Last Updated 12/30/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
1013 OLD TOWN RD
CORAM NY, 11727-1853, US
Phone (631) 732-2590
Fax (631) 732-2590
Business Location
1013 OLD TOWN RD
CORAM NY, 11727-1853, US
Phone (631) 732-2590
Fax (631) 732-2590
Toxanomy
Taxonomy Code 213E00000X
License State New York
License Number 002467
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According to our database, Dr. John Peter Burghardt JR. DPM NPI is 1003817024, taxonomy code is 213E00000X and license number is 002467, license state is located at New York. John Peter Burghardt JR. DPM physically located at 1013 Old Town Rd, Coram NY, 11727-1853. NPI Number John Peter Burghardt JR. DPM has the Individual type.

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1003817024 NPI number is provided on an as is basis without warranty of any kind. 1003817024 is maintained by the National Plan & Provider Enumeration System. The contents of John Peter Burghardt JR. DPM are for informational purposes only.