Organization
BURGESS HEALTH ASSOCIATES LLC
Active
Other names
HealthTrac
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN ROBINSON (PRESIDENT)
(716) 614-3285
Entity
Organization
Contact information
Practice address
203 CONCORD ST, SUITE 319, PAWTUCKET, RI 02860-3477
(401) 724-2280
(401) 724-6722
Mailing address
4950 GENESEE ST, BUFFALO, NY 14225-5550
(716) 614-3260
(716) 614-3282
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00408521
BLUE CHIP
RI
01
—
23334-9
HEALTHMATE
RI
Enumeration date
02/22/2007
Last updated
08/16/2007
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