Edmund W Burdick Od

NPI 1023286630 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1023286630
Enumeration Date 02/16/2008
Last Updated 02/16/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name EDMUND W EDMUND
Position OWNER
Phone (570) 465-3188
Fax
Practice Location
188 CHURCH ST
NEW MILFORD PA, 18834-2104, US
Phone (570) 465-3188
Fax
Business Location
PO BOX 423
NEW MILFORD PA, 18834-0423, US
Phone
Fax
Toxanomy
Taxonomy Code 332H00000X
License State Pennsylvania
License Number OEG000478
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According to our database, Edmund W Burdick Od NPI is 1023286630, taxonomy code is 332H00000X and license number is OEG000478, license state is located at Pennsylvania. Edmund W Burdick Od physically located at 188 Church St, New Milford PA, 18834-2104. NPI Number 1033115704 has the healthcare provider type.

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1023286630 NPI number is provided on an as is basis without warranty of any kind. 1023286630 is maintained by the National Plan & Provider Enumeration System. The contents of Edmund W Burdick Od are for informational purposes only.