EDMUND W BURDICK OD; NPI #1023286630

Contact Information

EDMUND W BURDICK OD

188 CHURCH ST
NEW MILFORD, PA 18834-2104

Phone: 570-465-3188
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for EDMUND W BURDICK OD

NPI Number 1023286630

LBN Legal business name EDMUND W BURDICK OD

Authorized official EDMUND BURDICK - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/16/2008

Last updated 02/16/2008 - About 18 years ago

Identifiers

License #

OEG000478

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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EDMUND W BURDICK OD

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for EDMUND W BURDICK OD

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