Individual
MR. SAMUEL WILLIAM BURWELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1945 LAVEER ST, PHILADELPHIA, PA 19141-1403
(267) 591-0144
Mailing address
1945 LAVEER ST, PHILADELPHIA, PA 19141-1403
(267) 591-0144
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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