Individual
MR. PAUL ERIC BURILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
161 NEW RD, CHURCHVILLE, PA 18966-1445
(707) 239-0615
Mailing address
161 NEW RD, CHURCHVILLE, PA 18966-1445
(707) 239-0615
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
RT005341
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000010524
BOARD OF CERTIFICATION
PA
Enumeration date
09/02/2013
Last updated
09/02/2013
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