Organization
ENTELMED INC.
Active
Other names
EntelMed
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN D BURKLOW (CEO)
(484) 985-2757
Entity
Organization
Contact information
Practice address
400 INDIAN RUN RD, GLENMOORE, PA 19343-1338
(484) 985-2757
Mailing address
9844 RESEARCH DR STE 200, IRVINE, CA 92618-4381
(484) 985-2757
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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