Individual
DR. CHARLES NICHOLAS BURNS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S WASHINGTON AVE STE 1000, SCRANTON, PA 18505-3814
(570) 941-0630
(570) 230-0013
Mailing address
501 S WASHINGTON AVE STE 1000, SCRANTON, PA 18505-3814
(570) 941-0630
(570) 230-0013
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD019709E
PA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
MD019709E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000075845
MEDPLUS
PA
05
—
0007978940002
—
PA
01
—
01042601
CAPITAL BLUE CROSS
DC
01
—
072965
FIRST PRIORITY HEALTH
PA
01
—
0900660001
MEDICARE DME
PA
01
—
11762 6365
GEISINGER HEALTH PLAN
PA
01
—
20010385
AMERIHEALTH MERCY
PA
01
—
2Y1004
HEALTHNET
PA
01
—
340009441
TRAVELER'S RAILROAD MEDIC
PA
01
—
34369
BLUE SHIELD
PA
01
—
505911
AETNA US HEALTHCARE
PA
Enumeration date
09/09/2005
Last updated
12/10/2020
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