Individual
MS. PATRICIA ANNE BURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5782 MAIN STREET,, SUITE 1, WILLIAMSVILLE, NY 14221-8219
(716) 332-1620
(716) 332-1621
Mailing address
5782 MAIN STREET,, SUITE 1, WILLIAMSVILLE, NY 14221-8219
(716) 332-1620
(716) 332-1621
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
175248
NY
207N00000X
Dermatology Physician
K6996
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030972601
—
TX
Enumeration date
12/06/2006
Last updated
04/12/2012
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