Individual
DR. TIMOTHY E BURDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HITCHCOCK WAY, FAMILY PRACTICE, MANCHESTER, NH 03104-4125
(603) 629-1870
Mailing address
100 HITCHCOCK WAY, FAMILY PRACTICE, MANCHESTER, NH 03104-4125
(603) 629-1870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17748
NH
2083C0008X
Clinical Informatics Physician
17748
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011669
—
VT
Enumeration date
07/16/2006
Last updated
08/22/2016
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