Individual
TARA BURLINGAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-3880
Mailing address
865 LOG COLLEGE DR, WARMINSTER, PA 18974-1803
(215) 205-4569
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP028940
PA
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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