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Individual

DR. BRIAN PRENTICE BURLEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5325 NORTHGATE DRIVE, SUITE 209, BETHLEHEM, PA 18017
(610) 625-8898
(610) 625-8899
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD037049E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012094500002
PA
01
01182701
CAPITAL BLUE CROSS
PA
01
020055700
BLACK LUNG
PA
01
290009012
RAILROAD MEDICARE
PA
01
4273808
AETNA
PA
01
91964
UNISON
PA
01
BU608961
PA BLUE SHIELD
PA
01
P867065
OXFORD
PA
Enumeration date
05/28/2006
Last updated
03/28/2018
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